HALIE FAYE GULLEY (NPI# 1770145716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770145716 |
| Entity Type | Individual |
| Full Name | HALIE FAYE GULLEY |
| Other Name | HALIE FAYE MOITOZA |
| Credential | DDS |
| Practice Address |
3009 Hwy K O'fallon MO 63368 |
| Practice Telephone | 6363797552 |
| Practice Fax Number | 6363797553 |
| Mailing Telephone | 6363797552 |
| Mailing Fax Number | 6363797553 |
| Enumeration Date | 2019-06-29 |
| Last Update Date | 2020-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 61666 | KS | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
2019046179 | MO | Dental Providers |
| Street Address |
3009 HWY K |
| City | O'FALLON |
| State | MO |
| Zip Code | 63368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720329 | Come As You Are Counseling LLC | Counselor | 1001 Boardwalk Springs Place, Suite 111, O Fallon, MO 63368 | 2020-11-04 |
| 1770124802 | Lisa N. Greer | Technician | 6911 Brassel Dr., Ofallon, MO 63368 | 2019-09-30 |
| 1972079556 | Erin Corsi Fraundorf | Dentist | 3009 State Hwy K, O'fallon, MO 63368 | 2018-10-22 |
| 1427579960 | Air Evac Ems, Inc. | Ambulance | 1001 Boardwalk Springs Pl Ste 250, O Fallon, MO 63368 | 2017-07-06 |
| 1528507472 | Washeck Manual Therapy LLC | Clinic/Center | 3074 Winghaven Blvd, O'fallon, MO 63368 | 2017-02-13 |
| 1639618457 | Brittany Hogan | Physical Therapist | 7412 South Outer 364, Suite B, Dardenne Prairie, MO 63368 | 2017-02-13 |
| 1124561469 | Cardinal Home Care LLC | Home Health | 18 Convent Garden Ct, O'fallon, MO 63368 | 2016-11-18 |
| 1336509272 | Sarah Marie Mudd | Counselor | 1654 Bryan Road, O'fallon, MO 63368 | 2016-03-04 |
| 1588023956 | Price-bourisaw Family Chiropractic | Chiropractor | 2917 State Highway K, O Fallon, MO 63368 | 2016-02-15 |
| 1386010684 | St. Peters Bone & Joint Surgery, Inc. | Orthopaedic Surgery | 4651 Hwy K, O'fallon, MO 63368 | 2015-08-20 |
| Find all providers in zip 63368 | ||||
| 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 |
|---|---|---|---|---|
| 1629185814 | Alex Joseph Schillinger | Dentist | 717 Insight Avenue, Suite 200, O'fallon, IL 62269 | 2006-08-24 |
| 1285777839 | Premier Dental Partners | Dentist | 1630 Market Center Blvd, O'fallon, MO 63304 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649883505 | Kameris Austin-biggs | Dentist | 3500 Jeffco Blvd Ste 100, Arnold, MO 63010-6122 | 2020-08-28 |
| 1003428335 | Ralph Thomas Dinges | Dentist | 7124 S Outer 364, O Fallon, MO 63368-7756 | 2020-08-18 |
| 1093326670 | Amani Abdulateef | Dentist | 4016 Lemay Ferry Rd, Saint Louis, MO 63129-1858 | 2020-08-16 |
| 1033728407 | Sarah Giacomini | Dentist | 1520 S 5th St Ste 103, Saint Charles, MO 63303-4127 | 2020-07-30 |
| 1225647704 | James Andrew Kleoppel | Dentist | 3320 Ne Ralph Powell Rd., Lee's Summit, MO 64064 | 2020-07-30 |
| 1912516923 | Richard Houston Rash | Dentist | 303 N Keene St Ste 202-210, Columbia, MO 65201-8050 | 2020-07-26 |
| 1043828627 | Tara Elizabeth Habibi | Dentist | 3422 Utah St Fl 2, Saint Louis, MO 63118-2727 | 2020-07-20 |
| 1053929778 | Travis Barrett | Dentist | 729 Winding Bluffs Dr, Fenton, MO 63026-5564 | 2020-07-20 |
| 1952929614 | Brianna Buchheit | Dentist | 701 E Market Pkwy, Belton, MO 64012 | 2020-07-09 |
| 1467079707 | Amber Arshad | Dentist | 3901 S Bolger Rd, Independence, MO 64055-6779 | 2020-07-02 |
| 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.