JAMES MICHAEL ROBERTSON (NPI# 1750594412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750594412 |
| Entity Type | Individual |
| Full Name | JAMES MICHAEL ROBERTSON |
| Other Name | J MICHAEL ROBERTSON |
| Credential | DMD |
| Practice Address |
103 Parkgate Drive Extended Tupelo MS 38801-3038 |
| Practice Telephone | 6628422448 |
| Practice Fax Number | 6628428374 |
| Mailing Telephone | 6628422448 |
| Mailing Fax Number | 6628428374 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
257190 | MS | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659776748 | James Robertson | Pharmacist | 2727 Church Rd, Columbus, MI 48063-4221 | 2014-10-31 |
| 1962768481 | James Ryan Robertson | Nurse Practitioner | 1 E Market St Ste C1, Martinsville, VA 24112-3747 | 2012-04-10 |
| 1487939922 | James Douglas Robertson | Pharmacist | 202 Harper Ave Nw Ste A, Lenoir, NC 28645-5196 | 2011-10-17 |
| 1457516437 | James Thomas Robertson | Neurological Surgery | 189 Crestview Dr, Brevard, NC 28712-8890 | 2008-07-19 |
| 1275657371 | James Bruce Robertson | Urology | 2002 N 22nd Ave Ste 1, Bozeman, MT 59718-3153 | 2007-03-16 |
| 1548300536 | James Michael Robertson | Counselor | 1672n 600w, Greenfield, IN 46140-9626 | 2007-02-07 |
| 1679632822 | James B. Robertson | Audiologist | 117 Bluebell Dr, Mechanicsburg, PA 17050-3726 | 2006-12-06 |
| 1891898359 | James Robbie Robertson | Chiropractor | 2918 Saint Marys Ave, Hannibal, MO 63401-3715 | 2006-09-07 |
| 1003820986 | James Marvin Robertson | Dentist | 369 E Chicago St, Coldwater, MI 49036-2002 | 2006-07-28 |
| 1457357832 | James Wallace Robertson | Pediatrics | 5024 N Royal Dr, Traverse City, MI 49684-9230 | 2005-06-22 |
| Street Address |
103 PARKGATE DRIVE EXTENDED |
| City | TUPELO |
| State | MS |
| Zip Code | 38801-3038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339275 | Friendship, LLC | Pharmacy | 4123 W Main St, Tupelo, MS 38801 | 2020-09-04 |
| 1003443458 | Nicole Sherice Taylor | Nurse Practitioner | 845 South Gloster Street, Tupelo, MS 38801 | 2020-03-25 |
| 1821556838 | Wilco Healthcare of North Mississippi, Pllc | Point of Service | 1514 Co Rd 41, Tupelo, MS 38801 | 2019-03-08 |
| 1821565235 | Stephanie K Cagle | Nurse Practitioner | 218 S Thomas St Ste 120-121, Tupelo, MS 38801 | 2018-10-24 |
| 1073092326 | Lauren Parrish | Nurse Practitioner | 1573 Medical Park Circle, Tupelo, MS 38801 | 2018-08-08 |
| 1467948687 | North Mississippi Medcial Center, Inc. | Nurse Practitioner | 990 S Madison St Ste 2, Tupelo, MS 38801 | 2018-07-11 |
| 1043700933 | Hooks Diabetes & Medicine Clinic | Non-Pharmacy Dispensing Site | 2610 Traceland Drive, Ste A, Tupelo, MS 38801 | 2018-05-16 |
| 1073035903 | Annette C Riddle | Counselor | 1004 Eisenhower Drive, Tupelo, MS 38801 | 2017-07-12 |
| 1548709678 | Jaime Summers | Nurse Practitioner | 2780 West Jackson St, Tupelo, MS 38801 | 2017-02-22 |
| 1073975611 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 1168 Cross Creek Drive, Tupelo, MS 38801 | 2016-03-23 |
| Find all providers in zip 38801 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932531373 | North Mississippi Periodontics & Implant Dentistry Pllc | Dentist | 103 Park Gate Ext, Tupelo, MS 38801-3038 | 2013-08-08 |
| 1033126297 | Rebecca Smith Mcdougald | Dentist | 1906 N Gloster St, Tupelo, MS 38804-1220 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497112825 | Mississippi Periodontics and Implants Pllc | Dentist | 218 West Jackson Street, Ridgeland, MS 39157 | 2016-01-15 |
| 1851640437 | Ms Periodontic Specialists Group, Pllc | Dentist | 209 Woodline Dr., Flowood, MS 39232 | 2012-08-29 |
| 1790069854 | Periodontal Associates of Jackson, P.a. | Dentist | 406 Briarwood Dr., Ste. 101, Jackson, MS 39206 | 2011-10-06 |
| 1992997159 | Rodney C Richardson | Dentist | 1609 24th Ave, Meridian, MS 39301-3112 | 2007-08-13 |
| 1699966770 | Brenda Lyle Fowler | Dentist | 2408 S Lamar Blvd, Suite 3, Oxford, MS 38655-5345 | 2007-08-05 |
| 1730385139 | Bernard Frederick Podlin | Dentist | 400 Pass Road, Gulfport, MS 39507 | 2007-06-22 |
| 1417166703 | R. Clarke Stewart | Dentist | 406 Briarwood Dr Ste 101, Jackson, MS 39206-3059 | 2007-05-22 |
| 1134341407 | Nichols Periodontics LLC | Dentist | 2401 5th Street North, Suite 2, Columbus, MS 39705 | 2007-05-03 |
| 1689719486 | Charles Joseph Caskey | Dentist | 218 West Jackson St., Ridgeland, MS 39157 | 2007-02-20 |
| 1275681967 | Pine Belt Periodontics, Pllc | Dentist | 9 Medical Blvd, Hattiesburg, MS 39401-7231 | 2007-01-08 |
| Find all providers with the same taxonomy | ||||
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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.