CONNOR JAMES DENISON (NPI# 1467019976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467019976 |
| Entity Type | Individual |
| Full Name | CONNOR JAMES DENISON |
| Credential | DDS |
| Practice Address |
310 W Losey St Scott Air Force Base IL 62225-5250 |
| Practice Telephone | 9018281241 |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2019-05-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
APPLYING | TN | Dental Providers |
| Street Address |
310 W LOSEY ST |
| City | SCOTT AIR FORCE BASE |
| State | IL |
| Zip Code | 62225-5250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265074660 | Richard Sigurd Larson IIi | Nurse Practitioner | 310 W Losey St, Scott Air Force Base, IL 62225-5250 | 2019-10-17 |
| 1558850271 | Phoebe Marie Blakeley | Student in an Organized Health Care Education/Training Program | 310 W Losey St, Scott Air Force Base, IL 62225-5250 | 2018-05-08 |
| 1629575535 | Don Ho | Student in an Organized Health Care Education/Training Program | 310 W Losey St, Scott Air Force Base, IL 62225-5250 | 2018-04-07 |
| 1386198679 | Gregory James Chaffin | Dentist | 310 W Losey St, Scott Air Force Base, IL 62225-5250 | 2016-08-04 |
| 1750734612 | Christopher Sean Durkin | Family Medicine | 310 W Losey St, Scott Air Force Base, IL 62225-5250 | 2016-07-15 |
| 1093192908 | St. Louis Jc Vamc | Clinic/Center | 310 W Losey St, 375th Medical Group, Scott Air Force Base, IL 62225-5250 | 2015-04-29 |
| 1225439045 | Erin O'connor | Military Health Care Provider | 310 W Losey St, Scott Air Force Base, IL 62225-5250 | 2014-09-11 |
| 1770993875 | Nicholas Littman | General Practice | 310 W Losey St, Scott Air Force Base, IL 62225-5250 | 2014-04-29 |
| 1750418646 | Leeann Jeanette Funk | Social Worker | 310 W Losey St, Family Advocacy Program Building 1533, Scott Air Force Base, IL 62225-5250 | 2007-02-27 |
| 1316091887 | Troy W Johnson | Optometrist | 310 W Losey St, Scott Air Force Base, IL 62225-5250 | 2007-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861011645 | Cheryl D Jones | Registered Nurse | 375th Mdg, 310 W. Losey Street, Scott Afb, IL 62225 | 2020-04-13 |
| 1649836123 | Benjamin Truong | Student in an Organized Health Care Education/Training Program | Scott Air Force Base, 307 West Losey Street Building #1535, Apo, AA 62225 | 2019-05-10 |
| 1558925669 | Brian Ng | Student in an Organized Health Care Education/Training Program | South Drive, Scott Afb, Illinois, Apo, AA 62225 | 2019-04-24 |
| 1841853710 | Lance Scott Mcgavin | Student in an Organized Health Care Education/Training Program | 307 West Losey Street., Building #1535, Scott Afb, IL 62225 | 2019-04-17 |
| 1629503180 | Joshua Bryce Kessack | General Practice | 375 Amds, 310 Losey St, Scott Afb, IL 62225 | 2017-04-21 |
| 1265988059 | Jennifer Nicole Laurence | Dentist | 703 Seibert Rd Ste 5, Scott Afb, IL 62225 | 2016-08-31 |
| 1578940755 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 207 W. Winters St., Bldg 1981, Scott Afb, IL 62225 | 2015-04-27 |
| 1891193652 | Diana Meyer | Social Worker | Scott Afb, Apo, AA 62225 | 2014-12-10 |
| 1801210273 | Robie Victoria Hughes | Registered Nurse | 310 W Losey Street, Scott Air Force Base, IL 62225 | 2014-02-06 |
| 1487998746 | Melissa Dawn Goff | Military Health Care Provider | 310 West. Losey Street, Scott Afb, IL 62225 | 2012-11-26 |
| Find all providers in zip 62225 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477548014 | Brent S Mcclenny | Dentist | 310 W Losey St, Scott Air Force Base, IL 62225-5250 | 2005-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425230 | Sundeep Franklin Dmd & Daiana Capota Dmd Pllc | Dentist | 320 N Mclean Blvd Ste B, Elgin, IL 60123-3220 | 2020-10-20 |
| 1801403555 | Stephanie Elizabeth Miller | Dentist | 2220 Sisters Ave, Naperville, IL 60564-4394 | 2020-09-27 |
| 1417564121 | Gursimran Reen, Dmd LLC | Dentist | 29 S Webster St Ste 108, Naperville, IL 60540-5353 | 2020-09-26 |
| 1285240531 | Summit Dental Center LLC | Dentist | 7710 W 62nd Pl, Summit, IL 60501-1702 | 2020-09-22 |
| 1295340628 | Karina Valentin | Dentist | 1534 N Oakley Blvd Apt 3f, Chicago, IL 60622-1783 | 2020-09-11 |
| 1932713583 | Kevin G Reardon | Dentist | 479 S Spring Rd, Elmhurst, IL 60126-3857 | 2020-09-01 |
| 1831702307 | Sms Dental LLC | Dentist | 17727 Halsted St, Homewood, IL 60430 | 2020-08-25 |
| 1548870884 | Daniel Patrick Jurgens | Dentist | 2 N Country Club Rd Ste 2, Decatur, IL 62521-4174 | 2020-08-02 |
| 1184233934 | Shawna Jade Dudovitz | Dentist | 309 Tamarack Ln, Shiloh, IL 62269-2993 | 2020-07-28 |
| 1417565748 | Robert Hails | Dentist | 3540 N Belt W Ste B, Belleville, IL 62226-5975 | 2020-07-22 |
| Find all providers with the same taxonomy | ||||
| City | SCOTT AIR FORCE BASE |
| Zip Code | 62225 |
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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.