AUDUBON DENTAL CENTER OF PADUCAH (NPI# 1588712236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588712236 |
| Entity Type | Organization |
| Organization Name | AUDUBON DENTAL CENTER OF PADUCAH |
| Practice Address |
1927 Irvin Cobb Dr Ste 1 Paducah KY 42003-2105 |
| Mailing Address |
1927 Irvin Cobb Dr., Suite #1 Paducah KY 42003 |
| Practice Telephone | 2704426617 |
| Mailing Telephone | 2704426617 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JAMES M CAUDILL (OWNER) |
| Authorized Official Telephone | 2704426617 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5142 | KY | Dental Providers |
| Street Address |
1927 IRVIN COBB DR STE 1 |
| City | PADUCAH |
| State | KY |
| Zip Code | 42003-2105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033757638 | Wilson Medical Staffing Pllc | Nurse Practitioner | 3130 Lone Oak Rd, Paducah, KY 42003 | 2019-12-13 |
| 1417415993 | Lauren Deanne Mcclain | Nurse Practitioner | 225 Medical Center Dr Ste 205, Paducah, KY 42003 | 2019-03-04 |
| 1871057042 | Brame Psychological Assessment Center | Psychologist | Ray and Kay Eckstein Outreach Center, 435 Berger Rd, Paducah, KY 42003 | 2019-01-22 |
| 1831611219 | Elizabeth Anne Wright | Social Worker | 425 Broadway Street, Paducah, KY 42003 | 2017-07-07 |
| 1558804724 | Kayla Reshea Franklin | Behavior Technician | 2075 Husband Road, Paducah, KY 42003 | 2016-11-21 |
| 1699189308 | Sunrise Children's Services, Inc. | Foster Care Agency | 3565 Lone Oak Rd Ste 2, Paducah, KY 42003 | 2014-06-20 |
| 1326488891 | Alice Ann Higdon Wilham | Surgery | 1532 Lone Oak Rd Ste 235, Paducah, KY 42003 | 2013-06-28 |
| 1881924611 | Meghan Ashley Lee | Nurse Practitioner | 1532 Lone Oak Rd Ste 245, Paducah, KY 42003 | 2009-12-29 |
| 1174771018 | Sleep Source Kentucky, LLC | Clinic/Center | 3125 Parisa Drive, Paducah, KY 42003 | 2008-09-04 |
| 1851547426 | Zandra Bristol Farley | Registered Nurse | 1532 Lone Oak Road Suite 445, Lourdes Marshall Nemer Pavillion, Paducah, KY 42003 | 2008-08-14 |
| Find all providers in zip 42003 | ||||
| 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 |
|---|---|---|---|---|
| 1811512957 | Kelsey Brooks Powell | Dentist | 467 Jordan Drive, Suite A, Paducah, KY 42001 | 2020-06-15 |
| 1689236473 | Heath Bryan Coleman Dds of Kentucky Pllc | Dentist | 467 Jordan Dr, Ste 105, Paducah, KY 42001 | 2019-07-02 |
| 1700229051 | Cunningham Dental Pllc | Dentist | 4570 Pecan Drive, Suite B, Paducah, KY 42001-7501 | 2013-04-16 |
| 1285998815 | David J, Elrod, Dmd. A Professional Service Corporation | Dentist | 5183 Hinkleville Rd, Paducah, KY 42001-9667 | 2012-06-28 |
| 1609156777 | Michael Joseph Mangino | Dentist | 408 S 28th St, Suite A, Paducah, KY 42003-3808 | 2011-08-22 |
| 1790943454 | Jonathan H Woodyard | Dentist | 3235 Olivet Church Rd, Paducah, KY 42001-9545 | 2008-05-29 |
| 1225239841 | Donald W Tilley | Dentist | 657 Lone Oak Rd Ste 5, Paducah, KY 42003-4547 | 2007-05-30 |
| 1467571414 | Michael Lee Smith | Dentist | 2913 Lone Oak Rd, Paducah, KY 42003 | 2007-03-29 |
| 1437282480 | Walden & Bridges Partnership Dentistry | Dentist | 5154 Village Square Dr, Paducah, KY 42001-9060 | 2007-03-13 |
| 1912033986 | Allan Wade Poat | Dentist | 2333 Broadway St, Paducah, KY 42001-7113 | 2007-02-26 |
| Find all providers in PADUCAH | ||||
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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.