DR. KATHRYN WARD MENTZER (NPI# 1578984225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578984225 |
| Entity Type | Individual |
| Full Name | DR. KATHRYN WARD MENTZER |
| Credential | D.M.D. |
| Practice Address |
378 Savannah Ave Statesboro GA 30458-5163 |
| Practice Telephone | 9127644403 |
| Mailing Telephone | 9127644403 |
| Enumeration Date | 2013-12-26 |
| Last Update Date | 2013-12-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN011398 | GA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487079596 | Kathryn Mentzer | Nurse Anesthetist, Certified Registered | 2300 N Edward St, Decatur, IL 62526-4163 | 2014-02-26 |
| Street Address |
378 SAVANNAH AVE |
| City | STATESBORO |
| State | GA |
| Zip Code | 30458-5163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952490989 | Jason Reid Mcgibony | Dentist | 378 Savannah Ave, Statesboro, GA 30458-5163 | 2006-10-11 |
| 1932541935 | Thomas Elliott Marshall II | Dentist | 378 Savannah Ave, Statesboro, GA 30458-5163 | 2013-07-19 |
| 1265659437 | Jason R. Mcgibony, Dmd PC | Dentist | 378 Savannah Ave, Statesboro, GA 30458-5163 | 2007-04-19 |
| 1174649016 | Henry Jackson Proctor | Dentist | 378 Savannah Ave, Statesboro, GA 30458-5163 | 2007-03-22 |
| 1689718157 | Jarrod H. Brown | Dentist | 378 Savannah Ave, Statesboro, GA 30458-5163 | 2007-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639642218 | Youtherapy | Counselor | 430 Northside Dr East, Suite 160 Mb326, Statesboro, GA 30458 | 2019-01-07 |
| 1053891853 | Alexandria Franklin | Specialist/Technologist | 1332 Southern Dr, Statesboro, GA 30458 | 2018-08-21 |
| 1740780006 | Michael Ryan Clark | Pharmacist | 556 Northside Drive, Statesboro, GA 30458 | 2018-02-13 |
| 1689186405 | Chandler James Herman | Specialist/Technologist | 590 Herty Dr., Statesboro, GA 30458 | 2017-11-02 |
| 1477009181 | Mama Doc Pediatrics, LLC | Pediatrics | 400 East Grady Street, Statesboro, GA 30458 | 2016-09-01 |
| 1053761171 | Rebekah Roessler | Specialist/Technologist | 2687 Akins Blvd, Statesboro, GA 30458 | 2016-06-20 |
| 1427412253 | Refocus Counseling and Consulting Services | Community/Behavioral Health | 4325 Country Club, 4, Statesboro, GA 30458 | 2016-04-07 |
| 1023408523 | Kacy H. Nesmith | Nurse Practitioner | 1098 Bermuda Run, Suite 6, Statesboro, GA 30458 | 2015-02-04 |
| 1760870398 | Jessica Pasternack | Specialist/Technologist | 2687 Akins Boulevard, Statesboro, GA 30458 | 2015-01-06 |
| 1922401629 | Nathan D'amico | Student in an Organized Health Care Education/Training Program | 15 W Grady Street Unit A, Statesboro, GA 30458 | 2014-10-08 |
| Find all providers in zip 30458 | ||||
| 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 |
|---|---|---|---|---|
| 1497216980 | Statesboro Oral and Maxillofacial Surgery, Inc. | Dentist | 4463 Country Club Rd, Statesboro, GA 30458-9188 | 2019-03-27 |
| 1699935403 | Jarrett Harrell Walden | Dentist | 108 Gentilly Rd, Statesboro, GA 30458-5148 | 2008-06-15 |
| 1972689958 | Ricky Lane | Dentist | 504 Gentilly Road, Statesboro, GA 30458 | 2006-10-31 |
| 1801909445 | Larry G Hubbard | Dentist | 4 Lester Rd, Statesboro, GA 30458-4786 | 2006-08-17 |
| 1982626883 | Richard L. Emert | Dentist | 301 Florence Ave, Statesboro, GA 30458-5138 | 2006-07-23 |
| 1518516392 | Charles Jordan | Dentist | 412 Northside Dr E, Statesboro, GA 30458-4802 | 2019-09-05 |
| 1568717056 | Zackary L. Bentley | Dentist | 108 Gentilly Rd, Statesboro, GA 30458-5148 | 2012-07-20 |
| 1164732624 | Fionn Thomas | Dentist | 219 Savannah Ave, Statesboro, GA 30458-2001 | 2010-10-18 |
| 1376857722 | Frank Edwin Huff Jr. | Dentist | 4 Lester Rd, Statesboro, GA 30458-4786 | 2010-07-27 |
| 1144543372 | Anjali Puri Patel | Dentist | 613 E Grady St, Statesboro, GA 30458-5104 | 2010-03-02 |
| Find all providers in STATESBORO | ||||
| City | STATESBORO |
| Zip Code | 30458 |
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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.