JEFFREY L WHITLEY (NPI# 1548306509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548306509 |
| Entity Type | Individual |
| Full Name | JEFFREY L WHITLEY |
| Credential | DDS |
| Practice Address |
4700 Mueller Brass Road Covington TN 38019 |
| Practice Telephone | 9014760236 |
| Practice Fax Number | 9014760229 |
| Mailing Telephone | 9014760236 |
| Mailing Fax Number | 9014760229 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DS3425 | TN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3203952 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336415850 | Jeffrey Dwayne Whitley | Pharmacist | 552 Fork Rd, Norwood, NC 28128-8445 | 2012-03-29 |
| 1366549263 | Jeffrey O'neal Whitley | Psychologist | 9850-c Emmett F. Lowry Expy, Suite C-102, Texas City, TX 77591 | 2006-09-20 |
| Street Address |
4700 MUELLER BRASS ROAD |
| City | COVINGTON |
| State | TN |
| Zip Code | 38019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518017771 | State of Tennessee | Public Health or Welfare | 4700 Mueller Brass Road, Covington, TN 38019 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255957361 | Pcs Midsouth Transport LLC | Non-emergency Medical Transport (VAN) | 1723 Highway 51 S Ste E, Covington, TN 38019 | 2020-06-24 |
| 1972157410 | Deondra Edwards | Nurse Practitioner | 1618 Highway 51, Suites A&b, Covington, TN 38019 | 2019-08-01 |
| 1609395938 | Lauren Hill | Physician Assistant | 1618 Us 51, Covington, TN 38019 | 2017-09-19 |
| 1871991398 | Paul W. Hutchison, D.p.m. | Podiatrist | 105-d Mueller Brass Road, Covington, TN 38019 | 2014-12-16 |
| 1245586874 | Anne Marie Griffin | Nurse Practitioner | 1997 Highway 51 South, Professional Care Services of West Tennessee, Covington, TN 38019 | 2012-08-01 |
| 1720353782 | Katie Ann Daggett | Physician Assistant | 1618 Us 51 South, Suite A, Covington, TN 38019 | 2012-03-09 |
| 1245491547 | Amber Richa Hobbs-buchner | Dentist | 720 W. Sherrod Ave, Covington, TN 38019 | 2008-06-19 |
| 1598970758 | Roger Ganier Jr. | Dentist | 635 Hwy 51 S., Covington, TN 38019 | 2007-05-11 |
| 1679607923 | West Tennessee Eye | Optometrist | 1999 Hwy 51 South, Suite B, Covington, TN 38019 | 2007-03-16 |
| 1700986601 | Wal-mart Stores East, Lp | Technician/Technologist | 2201 Lanny Bridges Ave., Covington, TN 38019 | 2006-09-22 |
| Find all providers in zip 38019 | ||||
| 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 |
|---|---|---|---|---|
| 1124510276 | Washington Dental Corporation, PC | Dentist | 27237 172nd Ave Se Ste 105a, Covington, WA 98042-7352 | 2018-06-05 |
| 1144732223 | Cali Nicole Spell | Dentist | 79132 Highway 40, Covington, LA 70435-9329 | 2017-10-30 |
| 1346693892 | Kyle Blair | Dentist | 17121 Se 270th Pl Ste 202, Covington, WA 98042-5431 | 2016-07-20 |
| 1134570591 | Dr. Bill Gramzinski, D.m.d., P.C. | Dentist | 3204 Mill St Ne, Covington, GA 30014-2538 | 2016-06-28 |
| 1083062228 | Solomon Yakubov | Dentist | 4139 Baker Street, Suite 15, Covington, GA 30014-3001 | 2016-05-27 |
| 1306235445 | Covington Center for Family Dentistry | Dentist | 10373 Industrial Blvd, Covington, GA 30014 | 2015-01-13 |
| 1346655453 | Timothy Reid Miller | Dentist | 27081 185th Ave Se Ste 105, Covington, WA 98042-8448 | 2014-06-26 |
| 1245676568 | Magnolia Dental LLC | Dentist | 6061 Pinnacle Parkway, Covington, LA 70433 | 2013-05-14 |
| 1861738973 | Covington Family Dentistry LLC | Dentist | 4168 Baker St Ne, Covington, GA 30014-1404 | 2012-12-17 |
| 1982966537 | Charles Zachary Staples | Dentist | 6061 Pinnacle Pkwy, Covington, LA 70433-9193 | 2012-06-11 |
| Find all providers in COVINGTON | ||||
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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.