AUDUBON DENTAL CENTER PSC (NPI# 1619034915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619034915 |
| Entity Type | Organization |
| Organization Name | AUDUBON DENTAL CENTER PSC |
| Practice Address |
716 Second Street Henderson KY 42420 |
| Practice Telephone | 2708262092 |
| Mailing Telephone | 2708262092 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | S KURTIS WILSON (OWNER) |
| Authorized Official Telephone | 2708262092 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Street Address |
716 SECOND STREET |
| City | HENDERSON |
| State | KY |
| Zip Code | 42420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023175320 | Steven Wilson | Dentist | 716 Second Street, Henderson, KY 42420 | 2007-01-03 |
| 1306993399 | Terri Alley Newton | Dentist | 716 Second Street, Henderson, KY 42420 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174136337 | Virtual Consult Md LLC | Psychiatry & Neurology | 2202 Hwy 41 North, Unit E 152, Hendereson, KY 42420 | 2020-08-27 |
| 1679062731 | Maranda Wortham Miles | Nurse Practitioner | 2242 Hwy 41 North, Henderson, KY 42420 | 2018-05-04 |
| 1780124297 | Lisa Lovell | Nurse Practitioner | 230 North Green Street, Henderson, KY 42420 | 2017-03-02 |
| 1437540614 | Kala Hovermale | Social Worker | 220 2nd Street Ste 406, Henderson, KY 42420 | 2015-02-10 |
| 1972991537 | Jessica Thomas | Counselor | 230 Second St, Suite 406, Henderson, KY 42420 | 2015-01-06 |
| 1255690962 | Green River District Health Department | Public Health or Welfare | 631 N. Green Street, Henderson, KY 42420 | 2012-05-15 |
| 1588922769 | Jonathan M Mosley | Family Medicine | 1200 Barrett Blvd, Henderson, KY 42420 | 2012-04-25 |
| 1093099731 | Gregory Ayuk | Pharmacist | 402 Second Street, Henderson, KY 42420 | 2011-09-29 |
| 1437488137 | Peter J. Doll, D.p.m. | Durable Medical Equipment & Medical Supplies | 323 8th St., Henderson, KY 42420 | 2009-12-09 |
| 1760626402 | Linda Dalton Keith | Nurse Practitioner | 1704 2nd St, Henderson, KY 42420 | 2009-04-24 |
| Find all providers in zip 42420 | ||||
| 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 |
|---|---|---|---|---|
| 1083227383 | Steven Hadawar | Dentist | 3519 Saint Rose Pkwy Ste 110, Henderson, NV 89052-4598 | 2020-08-26 |
| 1952940926 | Lane and Associates Xxxvi Dds Pa | Dentist | 900 South Garnett St., Henderson, NC 27536 | 2019-12-23 |
| 1508411232 | Luz Gizelle Jaramillo-lyoubi | Dentist | 1351 W Sunset Rd Ste 100, Henderson, NV 89014-8608 | 2019-08-08 |
| 1770138521 | Quinn Dentists of St. Rose, PC | Dentist | 3519 St Rose Parkway, Ste 110, Henderson, NV 89052 | 2019-08-08 |
| 1588139026 | Roseman University of Health Sciences, A Nevada Non-profit Corp | Dentist | 4 Sunset Way Ste B, Henderson, NV 89014-2015 | 2018-10-11 |
| 1114408820 | Matthew Pineda Manas | Dentist | 2790 W Horizon Ridge Pkwy Ste 100, Henderson, NV 89052-3997 | 2018-08-22 |
| 1285111617 | Jack Nguyen, Dds, Pllc | Dentist | 2654 W Horizon Ridge Pkwy Ste B5-346, Henderson, NV 89052-2803 | 2018-07-27 |
| 1427575307 | Griffin Davis Park | Dentist | 366 W. Lake Mead Pkwy, St. 100, Henderson, NV 89105 | 2017-08-23 |
| 1013460872 | Robert Blackburn Jr. | Dentist | 211 Burning Tree Dr, Henderson, NC 27537-9607 | 2016-07-28 |
| 1407212624 | Toothfairy Children's Dental | Dentist | 10925 S Eastern Ave Ste 130, Henderson, NV 89052-5214 | 2016-01-04 |
| Find all providers in HENDERSON | ||||
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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.