CLINTON DENTAL CARE, INC. (NPI# 1750626321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750626321 |
| Entity Type | Organization |
| Organization Name | CLINTON DENTAL CARE, INC. |
| Practice Address |
736 Clinton Pkwy Clinton MS 39056 |
| Practice Telephone | 6014884086 |
| Practice Fax Number | 6017084081 |
| Mailing Telephone | 6014884086 |
| Mailing Fax Number | 6017084081 |
| Enumeration Date | 2012-12-07 |
| Last Update Date | 2012-12-07 |
| Authorized Official Name | DR. MARION CLAYTON GRUBBS (PRESIDENT) |
| Authorized Official Telephone | 6014884086 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 328404 | MS | Dental Providers |
| Street Address |
736 CLINTON PKWY |
| City | CLINTON |
| State | MS |
| Zip Code | 39056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376012724 | John Melvin Goolsby Jr. | Dentist | 457 Highway 80 East, Clinton, MS 39056 | 2018-11-15 |
| 1225534530 | Magnolia Allergy Clinic LLC | Internal Medicine | 402 Cynthia St Ste E, Clinton, MS 39056 | 2018-04-04 |
| 1578093704 | Melinda A Weisenberger | Specialist/Technologist | 4600 W Northside Drive, Clinton, MS 39056 | 2017-06-20 |
| 1962859702 | Telehealthone, LLC | Nurse Practitioner | 200 Clinton Plaza, Clinton, MS 39056 | 2016-05-23 |
| 1841686581 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 132 Fairmont Street, Suite B, Clinton, MS 39056 | 2015-04-09 |
| 1023412822 | Rebecca Brooks Prewitt | Social Worker | 130 B Fairmont Street, Clinton, MS 39056 | 2014-10-22 |
| 1396184149 | Robert Joseph Hargis | Urology | 116 Afton Way, Clinton, MS 39056 | 2013-06-14 |
| 1922394469 | Daphenia C. Knight Starling | Nurse Practitioner | Clinton Healthcare, 1251 Pinehaven Rd, Clinton, MS 39056 | 2011-06-23 |
| 1134443385 | Gwendolyn Coleman Garror | Pharmacist | 132 Fairmount Drive, Clinton, MS 39056 | 2010-03-17 |
| 1124241245 | Medical Foundation of Central Mississippi, Inc | Family Medicine | 106 Clinton Parkway, Clinton, MS 39056 | 2007-04-10 |
| Find all providers in zip 39056 | ||||
| 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 |
|---|---|---|---|---|
| 1811554595 | Samantha Mayes | Dentist | 1108 E Ohio St, Clinton, MO 64735-2458 | 2019-05-28 |
| 1922475144 | Navjeet Ubee | Dentist | 8913 Woodyard Rd Unit B, Clinton, MD 20735-4257 | 2015-08-24 |
| 1477953677 | Vibhor Bidkar | Dentist | 925 S 4th St, Clinton, IA 52732-5726 | 2014-08-26 |
| 1982019279 | Bahru Shikure Nure | Dentist | 9009 Woodyard Rd Unit 103, Clinton, MD 20735-4205 | 2014-06-25 |
| 1699115253 | Crown Hill Dentistry LLC | Dentist | 1792 E State Highway 163, Clinton, IN 47842-0160 | 2013-06-27 |
| 1154668333 | Kevin O'connell Dds LLC | Dentist | 149 E Main St Ste 4, Clinton, CT 06413-2103 | 2013-01-09 |
| 1891082616 | Christopher S Gatehouse | Dentist | 145r E Main St, Clinton, CT 06413-2104 | 2011-06-30 |
| 1114237211 | Jeron Skerritt-ryan | Dentist | 11910 Mary Catherine Dr, Clinton, MD 20735-1018 | 2010-10-07 |
| 1598096596 | Carson Ferris-zeolla D.m.d. Victoria Uryniak D.d.s. | Dentist | Walnut Pond Prof. Bldg., 1484 Rte. 31 N., Clinton, NJ 08809-0314 | 2010-01-15 |
| 1568692382 | Angella Mae Sherrill | Dentist | 908 N Us Highway 421, Clinton, NC 28328-0410 | 2009-07-15 |
| Find all providers in CLINTON | ||||
Please comment or provide details below to improve the information on CLINTON DENTAL CARE, INC..
| 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.