SAM W. QUILLEN JR. DMD (NPI# 1508131350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508131350 |
| Entity Type | Organization |
| Organization Name | SAM W. QUILLEN JR. DMD |
| Practice Address |
861 Hwy 317 Suite A Neon KY 41840-0036 |
| Mailing Address |
Po Box 36 Suite A Neon KY 41840-0036 |
| Practice Telephone | 6068557892 |
| Practice Fax Number | 6068557892 |
| Mailing Telephone | 6068557892 |
| Mailing Fax Number | 6068557892 |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2012-03-13 |
| Authorized Official Name | DR. SAM WILEY QUILLEN JR. (OWNER) |
| Authorized Official Telephone | 6068557892 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 4626 | KY | Dental Providers |
| Street Address |
861 HWY 317 SUITE A |
| City | NEON |
| State | KY |
| Zip Code | 41840-0036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033360813 | Tony Grenander | Social Worker | 17 Klimatgatan, Gothenburg, S 41840 | 2008-10-09 |
| 1538316757 | Baker Medical Services Inc. | Family Medicine | 37 Highway 343, Neon, KY 41840 | 2008-08-19 |
| 1558555904 | Kentucky River District Health Department | Public Health or Welfare | Hwy 7, Blackey, KY 41840 | 2007-08-29 |
| 1013088947 | Brenda Joan Baker | Family Medicine | Building 37, Highway 343, Neon, KY 41840 | 2006-11-13 |
| 1386714715 | Stallards Pharmacy Inc | Pharmacy | 972 Hwy 317, Neon, KY 41840 | 2006-11-09 |
| 1801955133 | Sam Wiley Quillen Jr. | Dentist | Hwy 317, 861 Suite A Bx 36, Neon, KY 41840-0036 | 2006-12-06 |
| 1932321163 | Kentucky River District Health Department | Public Health or Welfare | 50 2nd St, Neon, KY 41840-8994 | 2007-05-03 |
| 1861879041 | Kentucky River District Health Department | Public Health or Welfare | 50 2nd St, Neon, KY 41840-8994 | 2015-04-27 |
| 1295082386 | Mountain Comprehensive Health Corporation | Family Medicine | 50 2nd St, Neon, KY 41840-8994 | 2012-08-08 |
| 1124026935 | Neon Volunteer Fire Department Inc | Ambulance | 50 Rescue St Ste A, Neon, KY 41840-9000 | 2005-07-14 |
| Find all providers in zip 41840 | ||||
| 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 |
|---|---|---|---|---|
| 1548869878 | Miram Shaheen | Dentist | 600 Marshall St Unit 128, Louisville, KY 40202-3618 | 2020-10-19 |
| 1396351243 | Haaken Reed Magnuson | Dentist | 4600 Taylorsville Rd, Louisville, KY 40220-3530 | 2020-09-16 |
| 1043823586 | Rachad Kudsi | Dentist | 800 Rose St Lexington Ky, Lexington, KY 40536-0001 | 2020-08-25 |
| 1730799933 | Fernanda Yanez Regonesi | Dentist | 740 S Limestone Second Floor Wing C Room E214, Lexington, KY 40536-0001 | 2020-08-03 |
| 1629687181 | Joanna Higdon | Dentist | 4122 Shelbyville Rd Ste 103, Louisville, KY 40207-3206 | 2020-07-30 |
| 1184233702 | Amelia Beth Coleman | Dentist | 16005 Us-23 South, Catlettsburg, KY 41129 | 2020-07-29 |
| 1386253847 | Hannah Pope | Dentist | 6801 Dixie Hwy Ste 128, Louisville, KY 40258-3940 | 2020-07-29 |
| 1144838764 | My Smile Dental Services, Pllc | Dentist | 5014b Preston Hwy, Louisville, KY 40213-2217 | 2020-07-20 |
| 1205462967 | Florence Smiles Dentistry, Pllc | Dentist | 9031 Hwy 42 West, Ste A, Union, KY 41091 | 2020-03-13 |
| 1164068722 | Kentucky On-site Dental Services LLC | Dentist | 307 Longview Park Pl, Louisville, KY 40245-6217 | 2019-11-19 |
| Find all providers with the same taxonomy | ||||
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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.