JACOB J. BISSONETTE DDS, LLC (NPI# 1528503786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528503786 |
| Entity Type | Organization |
| Organization Name | JACOB J. BISSONETTE DDS, LLC |
| Other Organization Name | GREENFIELD FAMILY DENTISTRY |
| Practice Address |
1045 Jefferson St Ste A Greenfield OH 45123-8428 |
| Practice Telephone | 9372426677 |
| Practice Fax Number | 9372033994 |
| Mailing Telephone | 9372426677 |
| Mailing Fax Number | 9372033994 |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2016-12-27 |
| Authorized Official Name | DR. JACOB JOSEPH BISSONETTE (OWNER/OPERATOR) |
| Authorized Official Telephone | 9372426677 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 30022616 | OH | Dental Providers |
| Other Name | Type Code |
|---|---|
| Greenfield Family Dentistry | Doing Business As Name - Organization |
| Street Address |
1045 JEFFERSON ST STE A |
| City | GREENFIELD |
| State | OH |
| Zip Code | 45123-8428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033666516 | Lanna Daugherty | Community Health Worker | 128 Parrett Rd, Greenfield, OH 45123 | 2016-09-01 |
| 1164761391 | Amy M. Smith | Occupational Therapy Assistant | 850 Nellie Street, Greenfield, OH 45123 | 2013-02-07 |
| 1245578749 | Hope Renee Gunter | Licensed Practical Nurse | 670 Dickey Avenue, Greenfield, OH 45123 | 2013-01-18 |
| 1972841427 | Amber Nicole Beavers | Licensed Practical Nurse | 118 South 7th Street, Greenfield, OH 45123 | 2013-01-17 |
| 1275821704 | Amy R Frasure | Nurse Practitioner | 104 Erin Court, Hillsboro, OH 45123 | 2011-07-19 |
| 1376772871 | Kelly Ann Browning | Registered Nurse | 550 Dickey Ave, Greenfield, OH 45123 | 2009-07-07 |
| 1821298472 | Dawn Renee Snavely | Registered Nurse | 978 Black Lane, Greenfield, OH 45123 | 2007-07-23 |
| 1427102953 | Steven G Smith | Chiropractor | 504 Jefferson St, Greenfield, OH 45123 | 2007-01-22 |
| 1780643148 | Greenfield Area Life Squad Inc. | Ambulance | 640 North Washington St, Greenfield, OH 45123 | 2006-03-22 |
| 1013912179 | Christina Jean Deland-reeves | Family Medicine | 1075 N Washington St, Greenfield, OH 45123 | 2005-06-16 |
| Find all providers in zip 45123 | ||||
| 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 |
|---|---|---|---|---|
| 1760977896 | Melanie Renae Jones | Dentist | 1852 Fields Blvd Ste A, Greenfield, IN 46140-4006 | 2018-07-01 |
| 1184095028 | Hamza Omar | Dentist | 4240 S Ravinia Dr, Apt 202, Greenfield, WI 53221-5738 | 2015-10-19 |
| 1194104158 | Zachary Paul Marshall | Dentist | 4110 W Carpenter Ave, Greenfield, WI 53221-2506 | 2015-05-23 |
| 1063773463 | Jeffrey Mcquinn | Dentist | 737 W Green Meadows Dr, Greenfield, IN 46140-3100 | 2012-06-01 |
| 1629237573 | Peter Bill Tsiampas | Dentist | 3827 South 108th Street, Greenfield, WI 53228-1336 | 2008-06-05 |
| 1881851251 | Gary Robert Major | Dentist | 3401 W Layton Ave, Greenfield, WI 53221-2636 | 2008-05-21 |
| 1962680876 | Donald Joseph Lewandowski | Dentist | 4915 S 79 St, Greenfield, WI 53220 | 2008-02-01 |
| 1427250992 | Ernesto Mireles | Dentist | 696 Walnut Ave, Greenfield, CA 93927 | 2007-06-05 |
| 1396879524 | Ding Hong Zhang | Dentist | 808 Oak Street, Greenfield, CA 93927 | 2007-03-16 |
| 1235283458 | John Michael Neeb | Dentist | 1467 Jason Rd, Greenfield, IN 46140-1039 | 2007-01-23 |
| Find all providers in GREENFIELD | ||||
| City | GREENFIELD |
| Zip Code | 45123 |
Please comment or provide details below to improve the information on JACOB J. BISSONETTE DDS, LLC.
| 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.