DR. KENNETH NOEL REED JR. (NPI# 1760559025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760559025 |
| Entity Type | Individual |
| Full Name | DR. KENNETH NOEL REED JR. |
| Other Name | K NOEL REED JR. |
| Credential | DDS MS |
| Practice Address |
451 Pebble Creek Drive Madison MS 39110 |
| Practice Telephone | 6018988000 |
| Practice Fax Number | 6018988002 |
| Mailing Telephone | 6018988000 |
| Mailing Fax Number | 6018988002 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
2883 | MS | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518582212 | Kenneth Blair Reed | Physical Therapist | 131 N Oak St, Blackfoot, ID 83221-1757 | 2020-06-09 |
| 1992080881 | Kenneth Reed | Behavioral Analyst | 1108 E Hammer Ln, North Las Vegas, NV 89081-2976 | 2011-10-11 |
| 1891861621 | Kenneth F. Reed | Psychologist | 15832 Venture Ln, Eden Prairie, MN 55344-5732 | 2006-11-24 |
| 1417964487 | Kenneth Charles Reed | Dentist | 61641 Ridge Ave, Cambridge, OH 43725-9445 | 2006-08-02 |
| 1942282736 | Kenneth L. Reed | Internal Medicine | 3130 N County Road 25a Ste 109, Troy, OH 45373-1337 | 2005-11-16 |
| 1326045576 | Kenneth R Reed | Pharmacist | 261 Berkmore Pl, Suite 1c, Berkeley Springs, WV 25411-6247 | 2005-07-01 |
| 1932720950 | Kenneth Charles Reed | Social Worker | 7701 13th Ave, Brooklyn, NY 11228-2413 | 2020-04-30 |
| 1427324409 | Kenneth L. Reed | Dentist | 5620 Wilbur Ave, #319, Tarzana, CA 91356-1351 | 2012-03-23 |
| 1033315437 | Kenneth Calrisian Reed | Anesthesiology | 9320 S Mingo Rd, Tulsa, OK 74133-5710 | 2007-06-22 |
| 1649369141 | Kenneth J Reed | Physician Assistant | 131 Hospital Ln, Jellico, TN 37762-4404 | 2006-10-12 |
| Street Address |
451 PEBBLE CREEK DRIVE |
| City | MADISON |
| State | MS |
| Zip Code | 39110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134784689 | Therapy South - Gluckstadt LLC | Physical Therapist | 1716 Us 51, Ste N, Madison, MS 39110 | 2019-05-09 |
| 1871054098 | Summit Medical Solutions | Durable Medical Equipment & Medical Supplies | 107 Azalea Street, Madison, MS 39110 | 2019-03-29 |
| 1912488198 | Madison Medical Compounding Pharmacy | Pharmacy | 111 Fountains Blvd. Building B Ste. A, Madison, MS 39110 | 2018-08-24 |
| 1679061469 | Nuvena Vein Clinic | Anesthesiology | 120 Fountains Blvd, Madison, MS 39110 | 2018-04-26 |
| 1467960484 | Brick City Drugs, LLC | Durable Medical Equipment & Medical Supplies | 159 Fountains Blvd, Madison, MS 39110 | 2018-01-11 |
| 1093227589 | Hannah Monk Hawthorne | Counselor | 930 Ebenezer Blvd., Suite D, Madisin, MS 39110 | 2017-10-25 |
| 1548786650 | Kimberly Allen | Pharmacist | 1100 Us- 51, Madison, MS 39110 | 2017-08-21 |
| 1891218186 | Delta Elizabeth Stark | Chiropractor | 1085 Gluckstadt Rd., Bld 300 Ste E, Madison, MS 39110 | 2017-07-19 |
| 1861914848 | Laura Hartlein | Dietitian, Registered | 200 Park Circle Dr. #2, Flowood, MS 39110 | 2017-07-12 |
| 1831620608 | Ona Irby | Occupational Therapist | 105 Munich Dr, Madison, MS 39110 | 2017-03-23 |
| Find all providers in zip 39110 | ||||
| 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 |
|---|---|---|---|---|
| 1154555282 | Orthodontic Care of Georgia | Dentist | 1690 Eatonton Rd, Madison, GA 30650-4628 | 2009-05-04 |
| 1336382845 | James Russell Durham | Dentist | 7559c Highway 72 West, Suite 105, Madison, AL 35758-8812 | 2009-04-14 |
| 1851507248 | William Koenig | Dentist | 2040 Hubbard Rd, Madison, OH 44057-2566 | 2007-05-15 |
| 1497809537 | Marion Garr Doyle | Dentist | 624 W Due West Ave, Madison, TN 37115-4402 | 2007-01-23 |
| 1942358635 | Damian O. Fennig | Dentist | 5520 Medical Cir, Madison, WI 53719-1226 | 2007-01-08 |
| 1164599791 | Steven D. Peterson | Dentist | 202 S Gammon Rd, Ste. 150, Madison, WI 53717-1400 | 2006-11-29 |
| 1518030196 | Jeffrey Joseph Phillips | Dentist | 5605 Odana Rd, Madison, WI 53719-1207 | 2006-11-15 |
| 1902919012 | James Edwin Hatcher | Dentist | 581 Hughes Rd, Madison, AL 35758 | 2006-08-16 |
| 1821008756 | James E Paschal Jr. | Dentist | 153 W Washington St, Madison, GA 30650-1218 | 2006-08-09 |
| 1588611941 | David T Allen | Dentist | 7007 Old Sauk Rd, Suite 101, Madison, WI 53717-2307 | 2006-05-30 |
| Find all providers in MADISON | ||||
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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.