DR. RAY T BOLLIN (NPI# 1477693018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477693018 |
| Entity Type | Individual |
| Full Name | DR. RAY T BOLLIN |
| Credential | DDS |
| Practice Address |
410 S Pearl Ave Joplin MO 64801-2541 |
| Practice Telephone | 4177822021 |
| Practice Fax Number | 4177829850 |
| Mailing Telephone | 4177822021 |
| Mailing Fax Number | 4177829850 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2003011288 | MO | Dental Providers |
| Street Address |
410 S PEARL AVE |
| City | JOPLIN |
| State | MO |
| Zip Code | 64801-2541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265931901 | Alex Kirkson Talbott | Dentist | 410 S Pearl Ave, Joplin, MO 64801-2541 | 2018-02-08 |
| 1558535799 | Raymon Newton Sharp | Dentist | 410 S Pearl Ave, Joplin, MO 64801-2541 | 2008-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747783 | Chelsea Marie Wilson | Speech-Language Pathologist | Kaleidoscope Clinic 3531 N Range Line Rd, Joplin, MO 64801 | 2020-07-21 |
| 1639669807 | Cassandra Lee Williams | Speech-Language Pathologist | 310 W 8th Street, Joplin, MO 64801 | 2018-05-14 |
| 1427593177 | Healthone Labs LLC | Clinical Medical Laboratory | 101 N Rangline Rd, 304, Joplin, MO 64801 | 2017-01-04 |
| 1902253768 | Options Outpaitent Counseling Service | Counselor | 1515 W 10th St., Suite E, Joplin, MO 64801 | 2016-05-20 |
| 1467833871 | Regan Gass | Nurse Practitioner | 2912 West 16th Street, Joplin, MO 64801 | 2015-06-11 |
| 1881091171 | Pamela Ann Younger | Dental Hygienist | 530 S Maiden Lane, Joplin, MO 64801 | 2014-12-02 |
| 1588908065 | Amy Maria Manrique | Counselor | 301 E. Virginia Street, Joplin, MO 64801 | 2012-11-21 |
| 1356612329 | Ideal Care Clinical Services, LLC | Pharmacy | 5898 North Main, Suite 109, Joplin, MO 64801 | 2012-01-23 |
| 1124256037 | Nathalie Grace Canete Husain | Physical Therapist | Gmmpcpi 214 West 5th St., Suite D & E, Joplin, MO 64801 | 2009-06-30 |
| 1912162447 | David Odinga Egessah | Occupational Therapist | 214 West 5th St, Gmm Procare Providers Inc, Joplin, MO 64801 | 2008-07-24 |
| Find all providers in zip 64801 | ||||
| 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 |
|---|---|---|---|---|
| 1538729389 | Geoffrey Colin Mitchell | Dentist | 1935 S Range Line Rd, Joplin, MO 64804-3238 | 2019-06-14 |
| 1790207546 | Jacksie Short | Dentist | 2819 E 29th St, Joplin, MO 64804 | 2017-07-13 |
| 1447794193 | Team Dental Inc | Dentist | 2710 S Pitcher Ave, Joplin, MO 64804-1643 | 2016-12-15 |
| 1710374533 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1007 E 32nd St Ste 1, Joplin, MO 64804-2806 | 2015-04-20 |
| 1073928719 | Ricardo Lemus | Dentist | 431 S Northpark Ln, Joplin, MO 64801-8441 | 2014-06-20 |
| 1306266267 | Emily Katherine Handley, Dds, PC | Dentist | 1411 S Range Line Rd, Joplin, MO 64801-5589 | 2014-04-18 |
| 1619215605 | Carole Lee Meador | Dentist | 1329 East 32nd Street, Suite 6, Joplin, MO 64804 | 2013-01-25 |
| 1386815116 | Richard Falkensten | Dentist | 2101 S Jackson Ave, Joplin, MO 64804-1930 | 2008-03-19 |
| 1760558381 | Arthur Bernard Short | Dentist | 2710 S Picher Ave, Joplin, MO 64804-1604 | 2006-11-27 |
| 1821184045 | Dan Kip Young | Dentist | 2640 E 32nd St Ste 6, Joplin, MO 64804-4303 | 2006-10-05 |
| Find all providers in JOPLIN | ||||
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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.