DR. SIDNEY WAYNE BRANTLEY (NPI# 1760505226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760505226 |
| Entity Type | Individual |
| Full Name | DR. SIDNEY WAYNE BRANTLEY |
| Credential | DMD |
| Practice Address |
166 N Friendship Rd Paducah KY 42001-5602 |
| Practice Telephone | 2705540123 |
| Practice Fax Number | 2705540336 |
| Mailing Telephone | 2705540123 |
| Mailing Fax Number | 2705540336 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
5162 | KY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | STATE LICENSE # | 5162 | 01 |
| Street Address |
166 N FRIENDSHIP RD |
| City | PADUCAH |
| State | KY |
| Zip Code | 42001-5602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679749246 | Matthew Scott Milliner | Dentist | 166 N Friendship Rd, Paducah, KY 42001-5602 | 2008-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811512957 | Kelsey Brooks Powell | Dentist | 467 Jordan Drive, Suite A, Paducah, KY 42001 | 2020-06-15 |
| 1689236473 | Heath Bryan Coleman Dds of Kentucky Pllc | Dentist | 467 Jordan Dr, Ste 105, Paducah, KY 42001 | 2019-07-02 |
| 1477079333 | Ellen Louise Erwin | Speech-Language Pathologist | 5050b Village Square Drive, Paducah, KY 42001 | 2017-08-22 |
| 1225571391 | Jackie Powers | Counselor | 725 Broadway, Paducah, KY 42001 | 2016-11-22 |
| 1730544388 | Jackie Doublin | Counselor | 4625 Falconcrest Dr., Suite A, Paducah, KY 42001 | 2015-12-28 |
| 1861876997 | Adio Chiropractic Inc | Chiropractor | 2405 Lone Oak Rd, Suite B, Paducah, KY 42001 | 2015-07-18 |
| 1134530546 | Katherine Williamson | Obstetrics & Gynecology | 3927 Primrose Place, Paducah, KY 42001 | 2014-05-20 |
| 1679991061 | Kimberly Faith Wiggins | Social Worker | 425 Broadawy, Paducah, KY 42001 | 2014-04-02 |
| 1013251131 | Rxk Pharmacy | Pharmacy | 3526 Park Plaza Road, Paducah, KY 42001 | 2012-11-15 |
| 1134480098 | William Devin Hinson | Chiropractor | 2405 Lone Oak Road, Suite B, Paducah, KY 42001 | 2012-06-06 |
| Find all providers in zip 42001 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689896771 | James M. Woods Dmd, Psc | Dentist | 2307 Kentucky Ave., Paducah, KY 42003-3243 | 2007-05-02 |
| 1598981326 | Brad S Mills | Dentist | 3435 Lone Oak Rd, Paducah, KY 42003-5749 | 2007-04-18 |
| 1548311764 | John A Colgan | Dentist | 105 Kiana Ct, Paducah, KY 42001-6787 | 2007-01-15 |
| 1912983842 | James Michael Woods | Dentist | 2307 Kentucky Ave, Paducah, KY 42003-3243 | 2005-12-22 |
| 1679749246 | Matthew Scott Milliner | Dentist | 166 N Friendship Rd, Paducah, KY 42001-5602 | 2008-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164089231 | Brian Barrett Glatt | Dentist | 304 Axis Dr Apt 201, Louisville, KY 40206-0169 | 2019-05-23 |
| 1669038105 | Smile Doctors of Kentucky Psc | Dentist | 1481 Cavalry Ln Ste 100, Florence, KY 41042-8428 | 2019-05-09 |
| 1942760996 | Danielle Cianciolo | Dentist | 205 Tyne Rd, Louisville, KY 40207-3443 | 2019-03-24 |
| 1033604327 | Bbb of In, LLC | Dentist | 11801 Brinley Ave Ste 100, Louisville, KY 40243-3006 | 2018-06-28 |
| 1649765462 | Bbb of Ky, LLC | Dentist | 5225 Dixie Hwy, Louisville, KY 40216 | 2018-06-25 |
| 1801399357 | Jacob Linton Sword | Dentist | 161 College St Ste 3, Pikeville, KY 41501-4786 | 2018-03-12 |
| 1073012514 | Carli Loss | Dentist | 800 Rose St Dental Science Building, Lexington, KY 40536-7001 | 2018-02-11 |
| 1548778038 | Julie J Rambo | Dentist | 620 Perimeter Dr Ste 207, Lexington, KY 40517-4125 | 2018-01-18 |
| 1992235089 | Justin A Wedding Psc | Dentist | 2816 Veach Rd Ste 301, Owensboro, KY 42303-6297 | 2017-06-12 |
| 1669903910 | Northern Kentucky Smiles | Dentist | 1481 Cavalry Drive, Suite 100, Florence, KY 41042 | 2017-03-27 |
| 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.