DR. BRENT WILLS CHURCH (NPI# 1669729588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669729588 |
| Entity Type | Individual |
| Full Name | DR. BRENT WILLS CHURCH |
| Credential | DDS |
| Practice Address |
6810 Silverheel St Shawnee KS 66226-5300 |
| Practice Telephone | 9133873500 |
| Mailing Telephone | 9133873500 |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2016-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 61218 | KS | Dental Providers |
| N | 122300000X | Dentist | 3659-12 | MS | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
61218 | KS | Dental Providers |
| Street Address |
6810 SILVERHEEL ST |
| City | SHAWNEE |
| State | KS |
| Zip Code | 66226-5300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831489954 | Tieg Bryant Selberg | Dentist | 6810 Silverheel St, Shawnee, KS 66226-5300 | 2011-04-11 |
| 1053922385 | Jenkins Pediatric Dentistry | Dentist | 6810 Silverheel St, Shawnee, KS 66226-5300 | 2020-08-11 |
| 1205280450 | Emily Meyer | Dentist | 6810 Silverheel St, Shawnee, KS 66226 | 2016-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124598792 | Kaitlyn Nicole Jackman | Specialist/Technologist | 6320 Anderson St, Shawnee, KS 66226 | 2018-11-27 |
| 1912436379 | Alexandra Snyder | Behavioral Analyst | 23714 W. 54th Terr., Shawnee, KS 66226 | 2017-06-08 |
| 1992179741 | Melanie Miller | Nurse Practitioner | 5211 Woodsonia Dr, Shawnee, KS 66226 | 2015-11-17 |
| 1639512395 | Marjon Monfared | Family Medicine | 6815 Hilltop Rd Ste 100, Shawnee, KS 66226 | 2013-04-12 |
| 1063726941 | Kinsey Rachel Honeyman | Optometrist | 5433 Roberts Street, Shawnee, KS 66226 | 2010-08-03 |
| 1093974529 | Kansas Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 22700 W 55th Terrace, Shawnee, KS 66226 | 2008-06-09 |
| 1194811620 | William Schmidt | Physician Assistant | 6850 Hilltop Road, Suite 170, Shawnee, KS 66226 | 2006-10-04 |
| 1013352384 | Honeyman Investments LLC | Eyewear Supplier (Equipment, not the service) | 5433 Roberts Street, Shawnee, KS 66226 | 2013-05-01 |
| 1457429524 | Steven D Rettinger | Family Medicine | 6815 Hilltop Rd, Ste 100, Shawnee, KS 66226 | 2006-11-30 |
| 1245308329 | Philip Eugene Martin | Family Medicine | 6815 Hilltop Rd, Ste 100, Shawnee, KS 66226 | 2006-11-30 |
| Find all providers in zip 66226 | ||||
| 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 |
|---|---|---|---|---|
| 1437563764 | Melanie M Beck | Dentist | 17214 Midland Dr, Shawnee, KS 66217-8901 | 2014-06-14 |
| 1689908634 | Michael J Dostal | Dentist | 5408 Roberts St, Shawnee, KS 66226-3937 | 2009-09-23 |
| 1083877179 | Chase C Youngblood | Dentist | 2025 S Gordon Cooper Dr, Shawnee, OK 74801-9005 | 2008-07-08 |
| 1821210444 | Mickey Sehorn D.d.s., P.C. | Dentist | 1601 Airport Drive, Shawnee, OK 74804 | 2007-05-03 |
| 1982785192 | Jack Maxwell Chinn | Dentist | 20 E Dunloup, Shawnee, OK 74804-3201 | 2006-10-17 |
| 1457452534 | Richard M Dervin | Dentist | 22002 W 66th St, Shawnee, KS 66226-3500 | 2006-09-25 |
| 1750480737 | W Jack Mann Dds Inc | Dentist | 18 Dunlop, Shawnee, OK 74804-3203 | 2006-09-22 |
| 1912003955 | Ramit R Joshi | Dentist | 15834 Shawnee Mission Pkwy, Shawnee, KS 66217-9326 | 2006-09-16 |
| 1477662120 | Terry W Hopkins | Dentist | 1414 N Kennedy Suite 102, Shawnee, OK 74801 | 2006-08-29 |
| 1427063247 | Misty Dawn Sheldon | Dentist | 2510 E Independence St, #600, Shawnee, OK 74804-1839 | 2006-07-30 |
| Find all providers in SHAWNEE | ||||
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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.