DR. EDWARD A MATHEIN (NPI# 1487712154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487712154 |
Entity Type | Individual |
Full Name | DR. EDWARD A MATHEIN |
Credential | D.D.S. |
Practice Address |
505 N Jackson St Jackson MI 49201-1266 |
Practice Telephone | 5177485500 |
Practice Fax Number | 5177809286 |
Mailing Telephone | 5177485500 |
Mailing Fax Number | 5177809286 |
Enumeration Date | 2006-12-05 |
Last Update Date | 2012-06-18 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | 2901008781 | MI | Dental Providers |
Street Address |
505 N JACKSON ST |
City | JACKSON |
State | MI |
Zip Code | 49201-1266 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457357055 | Miraflor Reyes | Pediatrics | 505 N Jackson St, Jackson, MI 49201-1266 | 2005-06-28 |
1205441193 | Alexis Roe | Pharmacist | 505 N Jackson St, Jackson, MI 49201-1266 | 2020-09-09 |
1760004824 | Heather Rae Shoffstall Mcalvey | Student in an Organized Health Care Education/Training Program | 505 N Jackson St, Jackson, MI 49201-1266 | 2020-05-12 |
1003456955 | Karen Lizeth Hernandez Martinez | Social Worker | 505 N Jackson St, Jackson, MI 49201-1266 | 2020-01-08 |
1720552078 | Leon Puttler | Psychologist | 505 N Jackson St, Jackson, MI 49201-1266 | 2019-01-18 |
1265918924 | Jenna Prater | Pharmacist | 505 N Jackson St, Jackson, MI 49201-1266 | 2018-07-16 |
1467938449 | Jaskarandeep Singh | Student in an Organized Health Care Education/Training Program | 505 N Jackson St, Jackson, MI 49201-1266 | 2018-07-13 |
1215423744 | Gurpinderjit Virk | Student in an Organized Health Care Education/Training Program | 505 N Jackson St, Jackson, MI 49201-1266 | 2018-07-09 |
1528554052 | Supreet Bains | Student in an Organized Health Care Education/Training Program | 505 N Jackson St, Jackson, MI 49201-1266 | 2018-07-09 |
1053807578 | Mahad Rayale | Student in an Organized Health Care Education/Training Program | 505 N Jackson St, Jackson, MI 49201-1266 | 2018-07-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174137863 | Sally Ann Shaw | Behavior Technician | 3699 Miles Rd., Jackson, MI 49201 | 2020-09-01 |
1780293043 | Alyn Kristin Kay | Technician | Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 | 2020-07-23 |
1841827946 | Maverick Jubane | Student in an Organized Health Care Education/Training Program | Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 | 2020-03-26 |
1306486584 | Cody Williams | Technician, Other | 1001 Laurence Avenue St E, Jackson, MI 49201 | 2020-01-15 |
1720632292 | Krystie Lynn Adorjan | Speech-Language Pathologist | 1175 W Parnall Rd, Jackson, MI 49201 | 2019-08-01 |
1407412653 | Howard Franklin Tanner II | Speech-Language Pathologist | 102 East Michigan Avenue, Jackson, MI 49201 | 2019-05-14 |
1356863740 | Rima Zarar Qayyum | Speech-Language Pathologist | 4800 Firethorn Dr., Jackson, MI 49201 | 2017-07-07 |
1306384383 | Briana Nesmith | Speech-Language Pathologist | 2025 Ann Arbor Road, Jackson, MI 49201 | 2017-02-09 |
1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
1306212881 | Aisha Henderson | Social Worker | 729 West Michigan Avenue, Jackson, MI 49201 | 2015-08-19 |
Find all providers in zip 49201 |
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 |
---|---|---|---|---|
1619595295 | Charles Austin Huffman | Dentist | 1189 E County Line Rd, Jackson, MS 39211-1836 | 2020-07-09 |
1184249278 | Sleep Better Solutions LLC | Dentist | 9 Chatwick Cv, Jackson, TN 38305-5642 | 2020-06-15 |
1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
1124689864 | Hannah Farrar | Dentist | 2064 S Highland Ave, Jackson, TN 38301-7741 | 2019-06-24 |
1417515214 | Richard Yoo | Dentist | 3857 Cooper St Ofc, Jackson, MI 49201-7547 | 2019-06-05 |
1487148078 | Tanvi Patil | Dentist | 1074 Jackson Crossing, Jackson, MI 49202-2039 | 2018-06-18 |
1487183737 | Arkady Khaykin | Dentist | 24 N Cooks Bridge Rd, Jackson, NJ 08527 | 2017-06-09 |
1497292239 | Advanced Dental Clinic | Dentist | 1555 E County Line Road, Jackson, MS 39211 | 2017-01-31 |
1598131336 | S Kaur Dds Inc | Dentist | 12120 Industry Blvd Ste 35, Jackson, CA 95642-9374 | 2015-08-17 |
1841675931 | Miriam Tygier Furlong | Dentist | 186 W Veterans Hwy, Jackson, NJ 08527-3410 | 2015-07-30 |
Find all providers in JACKSON |
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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.