TRISSTAR OLIVER (NPI# 1437591401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437591401 |
| Entity Type | Individual |
| Full Name | TRISSTAR OLIVER |
| Credential | DDS |
| Practice Address |
782 Weatherly Dr Clarksville TN 37043-8941 |
| Mailing Address |
2292 Dalton Dr Ste F Clarksville TN 37043-8961 |
| Practice Telephone | 9315031111 |
| Mailing Telephone | 9315031111 |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2020-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 0442000179 | VA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | COMMONWEALTH OF VIRGINIA BOARD OF DENTISTRY (TEMPORARY RESIDENT | 0442000179 | 01 |
| Street Address |
782 WEATHERLY DR |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37043-8941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205888336 | Nashville Vamc | Clinic/Center | 782 Weatherly Dr, Clarksville, TN 37043-8941 | 2006-05-17 |
| 1972144665 | Andrea Fifer | Social Worker | 782 Weatherly Dr, Clarksville, TN 37043-8941 | 2019-10-03 |
| 1700433034 | Jessica Kudary | Social Worker | 782 Weatherly Dr, Clarksville, TN 37043-8941 | 2019-08-21 |
| 1205483542 | Todd Raley | Social Worker | 782 Weatherly Dr, Clarksville, TN 37043-8941 | 2019-08-21 |
| 1073179537 | Bethany Baker | Physical Therapy Assistant | 782 Weatherly Dr, Clarksville, TN 37043-8941 | 2019-05-10 |
| 1952966806 | Leah Hutchison | Chiropractor | 782 Weatherly Dr, Clarksville, TN 37043-8941 | 2019-05-07 |
| 1992225874 | Marsha Walker | Nurse Practitioner | 782 Weatherly Dr, Clarksville, TN 37043-8941 | 2017-06-22 |
| 1912431396 | Brandi N Findley | Family Medicine | 782 Weatherly Dr, Clarksville, TN 37043-8941 | 2017-04-12 |
| 1477952893 | Mary Kathryn Cozart | Pharmacist | 782 Weatherly Dr, Clarksville, TN 37043-8941 | 2014-08-21 |
| 1235411182 | Ashley Rebecca Donato | Acupuncturist | 782 Weatherly Dr, Clarksville, TN 37043 | 2011-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952958464 | Barbara Gallahan | Technician | 3992 Lakewood Dr., Clarksville, TN 37043 | 2019-08-20 |
| 1144874728 | Intricate Care | Registered Nurse | 2299 Raleigh Ct, Clarksville, TN 37043 | 2019-07-31 |
| 1740842145 | Caila Anne Wiblitzhouser Holm | Counselor | 755 Weatherly Drive, Clarksville, TN 37043 | 2019-07-05 |
| 1407416407 | Heartland Dental Care of Tennessee, PC | Dentist | 930 Highway 76, Clarksville, TN 37043 | 2019-06-20 |
| 1376021501 | Stephen Lawrence Rego | Case Manager/Care Coordinator | Cohen Military Family Clinic, 775 Weatherly Dr, Clarksville, TN 37043 | 2018-07-31 |
| 1366928095 | Kendra Lee | Social Worker | 775 Weatherly Dr., Clarksville, TN 37043 | 2018-07-16 |
| 1245742931 | Andrea L Edelstein | Dentist | 1818 Memorial Dr., Unit 47, Clarksville, TN 37043 | 2017-11-02 |
| 1043736119 | Megan Pritchett Landre | Behavior Technician | 990 South Ridge Trail, Clarksville, TN 37043 | 2017-08-20 |
| 1932624798 | Sandra Melissa Corral | Behavior Technician | 139e Old Trenton Rd, Suite B, Clarksville, TN 37043 | 2017-08-13 |
| 1700306032 | Sahiti Kandati | Dentist | 1777 Madison Ste Ste 100, Clarksville, TN 37043 | 2017-06-27 |
| Find all providers in zip 37043 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851924369 | Renew Dental | Dentist | 1835 Madison St Ste A, Clarksville, TN 37043-6547 | 2020-02-13 |
| 1861057044 | Hodiah Dmd LLC | Dentist | 6100 Daylong Ln Ste 204, Clarksville, MD 21029-1655 | 2019-05-03 |
| 1477014488 | Emily Allen | Dentist | 930 Hwy 76, Clarksville, TN 37040 | 2019-03-31 |
| 1972064186 | Tania Faruqi | Dentist | 1777 Madison St Ste 100, Clarksville, TN 37043-4912 | 2019-03-29 |
| 1689176471 | Tiny Town Smiles Dentistry, PC | Dentist | 1466 Tiny Town Rd Ste A, Clarksville, TN 37042-8292 | 2018-03-07 |
| 1871095133 | Hnarakis Dental Pllc | Dentist | 894 Highway 76 Ste 105, Clarksville, TN 37043-5396 | 2018-03-02 |
| 1245742931 | Andrea L Edelstein | Dentist | 1818 Memorial Dr., Unit 47, Clarksville, TN 37043 | 2017-11-02 |
| 1700306032 | Sahiti Kandati | Dentist | 1777 Madison Ste Ste 100, Clarksville, TN 37043 | 2017-06-27 |
| 1154862035 | Rg Dental Jeffersonville LLC | Dentist | 1005 E Lewis and Clark Pkwy, Clarksville, IN 47129-2201 | 2017-03-13 |
| 1104362946 | Clarksville Modern Dentistry,pc | Dentist | 1777 Madison Ste Suite 100, Clarksville, TN 37043 | 2017-01-18 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37043 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.