DR. KATIE MARIE CLOUGH-PERIN (NPI# 1689752602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689752602 |
| Entity Type | Individual |
| Full Name | DR. KATIE MARIE CLOUGH-PERIN |
| Other Name | DR. KATIE MARIE CLOUGH |
| Credential | D.D.S. |
| Practice Address |
33054 Nys Rte 26 Carthage NY 13619-8600 |
| Mailing Address |
26624 Chisholm Trl Watertown NY 13601-1700 |
| Practice Telephone | 3154939393 |
| Practice Fax Number | 3154939394 |
| Mailing Telephone | 3152765851 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2012-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
052833-1 | NY | Dental Providers |
| Street Address |
33054 NYS RTE 26 |
| City | CARTHAGE |
| State | NY |
| Zip Code | 13619-8600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760025316 | Danielle Lachele Nier | Licensed Practical Nurse | 35789 Jackson II Rd, Carthage, NY 13619 | 2019-10-25 |
| 1750944310 | Carthage Area Hospital, Inc. | Clinic/Center | 22075 Constitution Drive, Carthage, NY 13619 | 2019-04-19 |
| 1942723895 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 118 Canal St Ste 1, Carthage, NY 13619 | 2017-07-24 |
| 1003214313 | James Powers | Pharmacist | 60 High St., West Carthage, NY 13619 | 2014-12-18 |
| 1285069153 | Rachel E Dill | Dietitian, Registered | 1001 West Street Rd, Carthage, NY 13619 | 2013-09-10 |
| 1811074032 | Women First Ob Gyn PC | Obstetrics & Gynecology | 36381 Nys Route 26, Carthage, NY 13619 | 2006-11-01 |
| 1982788394 | Gaston F Dacosta | Obstetrics & Gynecology | 117 N. Mechanic Street, Carthage, NY 13619 | 2006-10-24 |
| 1477657641 | Sultan Mahmood Imdad | Family Medicine | Carthage Area Hospital, Bridge Street, Carthage, NY 13619 | 2006-09-11 |
| 1104937945 | Maryellen Blevins | Physician Assistant | 3 Bridge St., Carthage, NY 13619 | 2006-08-31 |
| 1023029824 | Mark A Parshall | Emergency Medicine | 1001 West Street, Carthage, NY 13619 | 2006-08-10 |
| Find all providers in zip 13619 | ||||
| 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 |
|---|---|---|---|---|
| 1407471881 | Oyegunwa and Associates, Pllc | Dentist | 340 Capital Dr, Carthage, NC 28327-6266 | 2020-06-11 |
| 1902428741 | Arise Dental of Carthage Pllc | Dentist | 1100 W Panola St, Carthage, TX 75633-2342 | 2020-05-14 |
| 1841720117 | Laura Katherine Henderson | Dentist | 113 N Pearl St, Carthage, MS 39051-4123 | 2017-06-19 |
| 1386095255 | Ozark Tri County Healthcare Consortium | Dentist | 215 E 3rd Street, Carthage, MO 64836 | 2016-06-22 |
| 1104193747 | Casey J Owen | Dentist | 102 Ervin Dr, Suite A, Carthage, TN 37030-1081 | 2011-11-28 |
| 1245481498 | Zeeshan Salam | Dentist | 40 Franklin St Ste IIi, Carthage, NY 13619-1377 | 2008-10-07 |
| 1376725754 | Amye L Shamburger | Dentist | 101 S. Pearl Street, Carthage, MS 39051 | 2007-11-28 |
| 1588795132 | Thomas G Gross II Dmd Pa | Dentist | 210 Highway 16 E, Carthage, MS 39051-4204 | 2007-03-07 |
| 1235283912 | Mark F Saladin | Dentist | 1604 Missouri Avenue, Carthage, MO 64836 | 2007-01-22 |
| 1649328642 | Jackie G. Robbins | Dentist | 1604 Missouri Ave, Carthage, MO 64836-3059 | 2007-01-08 |
| Find all providers in CARTHAGE | ||||
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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.