DAMARIUN WILSON (NPI# 1689221665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689221665 |
| Entity Type | Individual |
| Full Name | DAMARIUN WILSON |
| Practice Address |
2441 21st St Fort Campbell KY 42223-5582 |
| Practice Telephone | 2707988751 |
| Mailing Telephone | 2707988751 |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2019-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | Dental Providers |
| Street Address |
2441 21ST ST |
| City | FORT CAMPBELL |
| State | KY |
| Zip Code | 42223-5582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538143573 | Andrew David Palalay | Dentist | 2441 21st St, Fort Campbell, KY 42223-5582 | 2005-12-02 |
| 1821695776 | Markeanne Lasha Dunston | Dental Assistant | 2441 21st St, Fort Campbell, KY 42223-5582 | 2020-10-05 |
| 1538775937 | Roland Alonzo | Dentist | 2441 21st St, Fort Campbell, KY 42223-5582 | 2020-09-21 |
| 1740891712 | Gabriel Alberto Garcia | Dentist | 2441 21st St, Fort Campbell, KY 42223-5582 | 2020-08-13 |
| 1972114122 | Philip Worthen | Dentist | 2441 21st St, Fort Campbell, KY 42223-5582 | 2020-08-12 |
| 1477164655 | Samuel Paul Brunson | Dentist | 2441 21st St, Fort Campbell, KY 42223-5582 | 2020-08-12 |
| 1710597331 | Amber Archey | Dental Hygienist | 2441 21st St, Fort Campbell, KY 42223-5582 | 2020-08-07 |
| 1932725249 | Steven W Simpson | Dentist | 2441 21st St, Fort Campbell, KY 42223-5582 | 2020-06-23 |
| 1366066854 | Reed Houck | Dentist | 2441 21st St, Fort Campbell, KY 42223-5582 | 2020-06-01 |
| 1255991634 | Taylor Wade Bivens | Dentist | 2441 21st St, Fort Campbell, KY 42223-5582 | 2019-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978825 | Eden Addisu Kebede | Social Worker | Ft. Campbell/bach, 650 Joel Drive, Fort Campbell, KY 42223 | 2020-09-30 |
| 1174134662 | Lucas Pepper | Dentist | Desert Storm Ave, Bldg 5580, Apo, AA 42223 | 2020-08-10 |
| 1639711203 | Travis Robert Bryant | Optometrist | 5979 Desert Storm Ave., Lapointe Health Clnic Optometry, Ft. Campbell, KY 42223 | 2019-10-15 |
| 1184138232 | Vanessa Renee Simmons | Dental Assistant | 302b Baker St, Fort Campbell, KY 42223 | 2017-11-28 |
| 1922451996 | Isabella Julson | Dental Assistant | Bldg2441 21st Street, Us Army Dental Activity, Fort Campbell, KY 42223 | 2016-07-14 |
| 1336595305 | Heidi Cameron | Acupuncturist | 2889b Idaho Avenue, Fort Campbell, KY 42223 | 2016-05-10 |
| 1649644154 | Nathan Silvey | Physician Assistant | Building 4179, Fort Campbell, KY 42223 | 2015-11-20 |
| 1396145306 | Blanchfield Army Community Hospital | Clinic/Center | Bldg 2403, Air Assault St and Indiana Ave, Fort Campbell, KY 42223 | 2014-08-27 |
| 1275948564 | Rodney C Merkley | Psychologist | Building 3929, Ft. Capmbell, KY 42223 | 2014-06-25 |
| 1659785053 | Blanchfield Army Community Hospital | Clinic/Center | Bldg 6747 A Shau Valley Road, Fort Campbell, KY 42223 | 2014-06-13 |
| Find all providers in zip 42223 | ||||
| Taxonomy Code | 126800000X |
| Grouping | Dental Providers |
| Classification | Dental Assistant |
| An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184138232 | Vanessa Renee Simmons | Dental Assistant | 302b Baker St, Fort Campbell, KY 42223 | 2017-11-28 |
| 1922451996 | Isabella Julson | Dental Assistant | Bldg2441 21st Street, Us Army Dental Activity, Fort Campbell, KY 42223 | 2016-07-14 |
| 1821695776 | Markeanne Lasha Dunston | Dental Assistant | 2441 21st St, Fort Campbell, KY 42223-5582 | 2020-10-05 |
| 1154888998 | Candace L Walker | Dental Assistant | 2441 21st St, Fort Campbell, KY 42223-5582 | 2019-02-28 |
| 1053887240 | Nicolepatricia Spencer | Dental Assistant | 2441 21st St, Fort Campbell, KY 42223-5582 | 2018-10-16 |
| 1821502766 | Kalan Joseph Judge | Dental Assistant | 2441 21st St, Fort Campbell, KY 42223-5582 | 2017-11-30 |
| 1134633373 | Byron Anthony Singleton | Dental Assistant | 2441 21st St, Fort Campbell, KY 42223-5582 | 2017-11-27 |
| 1427560937 | Michael Taylor Griffin | Dental Assistant | 2441 21st St, Fort Campbell, KY 42223-5582 | 2017-10-25 |
| 1396261020 | Alexander Despois | Dental Assistant | 2441 21st St, Fort Campbell, KY 42223-5582 | 2017-08-15 |
| 1285085712 | Christine Troester | Dental Assistant | Bldg 2441 21st Street, Us Army Dental Activity, Fort Campbell, KY 42223 | 2016-06-27 |
| Find all providers in FORT CAMPBELL | ||||
| City | FORT CAMPBELL |
| Zip Code | 42223 |
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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.