DR. DAVID ALLEN VICKERS (NPI# 1457331027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457331027 |
| Entity Type | Individual |
| Full Name | DR. DAVID ALLEN VICKERS |
| Credential | DMD |
| Practice Address |
908 Madison Ave N Douglas GA 31533-3126 |
| Practice Telephone | 9123844902 |
| Practice Fax Number | 9123848820 |
| Mailing Telephone | 9123844902 |
| Mailing Fax Number | 9123848820 |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN010714 | GA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033729405 | David Vickers | Technician | 50 Siegal Rd, Beverly, WV 26253-4692 | 2020-07-31 |
| 1053962183 | David Vickers | Technician | 488 Austin Ave E, Pearson, GA 31642-8144 | 2019-09-20 |
| 1629518014 | David K. Vickers | Nurse Practitioner | 103 James St, Adel, GA 31620-1504 | 2017-03-03 |
| 1720158058 | David H Vickers | Anesthesiology | 154 Cude Ln, Madison, TN 37115-2202 | 2006-11-08 |
| 1649365826 | David B Vickers | Pediatrics | Plains Regional Medical Group, 2200 W 21st St, Clovis, NM 88101 | 2006-10-04 |
| Street Address |
908 MADISON AVE N |
| City | DOUGLAS |
| State | GA |
| Zip Code | 31533-3126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013354950 | Matthew Oliver Smith | Dentist | 908 Madison Ave N, Douglas, GA 31533-3126 | 2013-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508470964 | Swain Drug Company LLC | Pharmacy | 855 Bowens Mill Rd Sw Suite E, Douglas, GA 31533 | 2020-09-03 |
| 1811528649 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 211 North Street, Douglas, GA 31533 | 2020-01-30 |
| 1952940793 | Teresa Smith | Pharmacist | 901 W Ward St, Douglas, GA 31533 | 2019-12-26 |
| 1447641048 | Jennifer Spivey | Nurse Practitioner | 326 Shirley Avenue, Douglas, GA 31533 | 2015-02-18 |
| 1972914497 | Jessica Lynne Courson | Nurse Practitioner | 903 West Ward Street, Suite B, Douglas, GA 31533 | 2014-05-19 |
| 1063840296 | South Central Primary Care Center | Clinic/Center | 303 Shirley Ave, Ste B, Douglas, GA 31533 | 2013-10-25 |
| 1336411008 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 118 Coweta Avenue South, Douglas, GA 31533 | 2012-01-27 |
| 1346482700 | V and V Clinic | Pediatrics | 1020 West Bryan Street, Douglas, GA 31533 | 2009-04-01 |
| 1063650406 | Jayla Snipes Bullock | Speech-Language Pathologist | 618 Bowens Mill Road Sw, Douglas, GA 31533 | 2009-01-22 |
| 1417112707 | Southern Community Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 315 S. Gaskin Ave, Douglas, GA 31533 | 2008-07-25 |
| Find all providers in zip 31533 | ||||
| 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 |
|---|---|---|---|---|
| 1861050379 | Benjamin Paul Kairis | Dentist | 430 Wiley Rd, Douglas, MI 49406-5122 | 2019-05-30 |
| 1710304399 | A Keeler Family Dental, LLC | Dentist | 1010 E Richards Street, Douglas, WY 82633 | 2014-03-21 |
| 1366606519 | Justin Mcgovern | Dentist | 1370 Gordon St W, Douglas, GA 31533-3432 | 2008-07-16 |
| 1134253727 | Jinnie S Cleveland | Dentist | 1310 Ocilla Rd, Douglas, GA 31533-2222 | 2007-03-15 |
| 1649301102 | Kristine L. Gomez | Dentist | 720 E 11th St, Douglas, AZ 85607-2241 | 2007-03-08 |
| 1932110103 | Heidi Knight White | Dentist | 709 Peterson Ave N, Douglas, GA 31533-4911 | 2006-08-11 |
| 1205802303 | Tracey Jean Dellavecchia | Dentist | 430 130th Ave, Douglas, MI 49406-5100 | 2006-02-27 |
| 1972128932 | Jessilee Gabrielle Brooker | Dentist | 1108 Madison Ave N, Douglas, GA 31533-2802 | 2020-06-15 |
| 1891347142 | Luca Tedesco | Dentist | 430 Wiley Rd, Douglas, MI 49406-5122 | 2019-07-16 |
| 1497131510 | Christopher Rogowski | Dentist | 1100 F Ave, Douglas, AZ 85607-1919 | 2015-07-31 |
| Find all providers in DOUGLAS | ||||
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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.