CROSSTOWN DENTAL GROUP HIGHLAND ROW LLC (NPI# 1497361596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497361596 |
| Entity Type | Organization |
| Organization Name | CROSSTOWN DENTAL GROUP HIGHLAND ROW LLC |
| Practice Address |
431 S Highland St Ste 115 Memphis TN 38111-1633 |
| Practice Telephone | 9015135321 |
| Practice Fax Number | 9013395995 |
| Mailing Telephone | 9015125321 |
| Mailing Fax Number | 9013395995 |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-09-23 |
| Authorized Official Name | DR. DANIEL L BIRD (OWNER/DENTIST) |
| Authorized Official Telephone | 9018811234 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Crosstown Dental Group Highland Row LLC | Doing Business As Name - Organization |
| Street Address |
431 S HIGHLAND ST STE 115 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38111-1633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982168035 | Meghan Weakley Pace | Occupational Therapist | 177 North Highlanld Ave, Memphis, TN 38111 | 2019-01-23 |
| 1386130466 | Christopher Cory Wilbanks | Nurse Practitioner | 3445 Poplar Ave Ste 18, Memphis, TN 38111 | 2018-07-02 |
| 1124523287 | Hands of Health and Rehab | Clinic/Center | 80 N. Tillman St. Ste. 104, Memphis, TN 38111 | 2018-03-29 |
| 1659889889 | Jarod Lenahan | Specialist/Technologist | 1115 East Getwell Loop St, Memphis, TN 38111 | 2018-01-22 |
| 1831645100 | Bobby Winbush | Residential Treatment Facility, Emotionally Disturbed Children | 1167 Parkland Rd, Memphis, TN 38111 | 2016-08-28 |
| 1356797427 | Shilo Satran | Counselor | 208 Waynoka Lane, Memphis, TN 38111 | 2016-05-09 |
| 1346580552 | Bianca Branch | Psychologist | 4166 W Bufford Ellington Dr, Memphis, TN 38111 | 2013-02-25 |
| 1043563935 | Midsouth Vision Center | Optometrist | 3314 Poplar Ave Ste#1, Memphis, TN 38111 | 2012-10-17 |
| 1235407750 | Demetria Nicole Rogers | Pharmacist | 3515 Park Avenue, Memphis, TN 38111 | 2011-12-12 |
| 1326335647 | Jason Thomas Sasser | Nurse Practitioner | 3444 Plaza Ave., The Little Clinic, Memphis, TN 38111 | 2011-07-07 |
| Find all providers in zip 38111 | ||||
| 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 |
|---|---|---|---|---|
| 1922626019 | Randy Bagay | Dentist | 1350 Concourse Ave Ste 446, Memphis, TN 38104-2026 | 2020-07-06 |
| 1780200279 | Taylor Rae Vracar | Dentist | 875 Union Ave Ste 301, Memphis, TN 38103-3513 | 2020-06-19 |
| 1063982957 | Jasmine Copelanddds | Dentist | 1251 Wesley Dr Ste 130, Memphis, TN 38116-6443 | 2018-12-04 |
| 1770075681 | Bellano East Memphis, Pllc | Dentist | 5336 Estate Office Dr Ste 1, Memphis, TN 38119-3623 | 2018-06-06 |
| 1992200364 | Lauren Alyssia Henderson | Dentist | 5180 Park Ave Ste 210, Memphis, TN 38119-3530 | 2018-03-28 |
| 1598123986 | James F Proctor Dds Pa | Dentist | 1655 International Drive, Suite 203, Memphis, TN 38120-1436 | 2016-02-01 |
| 1497140008 | Tennessee Dental Professionals PC | Dentist | 6425 N Quail Hollow Rd Ste 102, Memphis, TN 38120-1438 | 2015-03-31 |
| 1255760385 | Tennessee Dental Professionals PC | Dentist | 370 Colonial Road, 3, Memphis, TN 38117 | 2013-11-08 |
| 1457793929 | Acadia Helath LLC | Dentist | 1000 Ridgeway Loop Rd, Suite 203, Memphis, TN 38120-4045 | 2013-07-24 |
| 1386961233 | Roger Dale Kilcoyne | Dentist | 364 Garland St, Memphis, TN 38104-7129 | 2010-04-30 |
| Find all providers in MEMPHIS | ||||
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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.