DR. ELMER H MULLINS JR. (NPI# 1770703829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770703829 |
| Entity Type | Individual |
| Full Name | DR. ELMER H MULLINS JR. |
| Credential | DMD |
| Practice Address |
1452 Diederich Blvd Russell KY 41169 |
| Practice Telephone | 6068366022 |
| Practice Fax Number | 6068366008 |
| Mailing Telephone | 6068366022 |
| Mailing Fax Number | 6068366008 |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | KY3650 | KY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 60036506 | 05 | |
| KY | EPSDT | 45003837 | 01 |
| Street Address |
1452 DIEDERICH BLVD |
| City | RUSSELL |
| State | KY |
| Zip Code | 41169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346552999 | Joseph Ray Bowling | Optometrist | 112 S Vinson Blvd, Louisa, KY 41169 | 2010-07-12 |
| 1508031980 | Alissa R Parker | Nurse Practitioner | 105 Thompson Road, Russell, KY 41169 | 2008-04-25 |
| 1790862233 | Premier Therapy & Health Centers, Inc. | Clinic/Center | 1490 Diederich Blvd, Russell, KY 41169 | 2006-11-01 |
| 1710073580 | Angela Dawn Lewis | Family Medicine | 1021 Kenwood Dr, Russell, KY 41169 | 2006-10-05 |
| 1972600609 | Tiffany Blanton | Counselor | 1448 Diederich Boulveard, Russell, KY 41169 | 2006-09-17 |
| 1821008335 | Lena A Harmon | Psychologist | 1448 Diederich Blvd, Russell, KY 41169 | 2006-08-08 |
| 1831645779 | Courtney Joyce | Counselor | 1448 Diederich Blvd, Russell, KY 41169 | 2016-08-31 |
| 1245436757 | Debora K Reeves | Counselor | 1448 Diederich Blvd, Russell, KY 41169 | 2007-06-22 |
| 1164044533 | Melissa Westfall | Registered Nurse | 440 Greenup Rd, Russell, KY 41169-1087 | 2020-05-08 |
| 1801418181 | Nurseology, LLC | Case Management | 440 Greenup Rd, Russell, KY 41169-1087 | 2020-05-10 |
| Find all providers in zip 41169 | ||||
| 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 |
|---|---|---|---|---|
| 1114071461 | Deanna Binion Tatterson | Dentist | 1409 Diederich Blvd, Russell, KY 41169-1718 | 2007-01-23 |
| 1942272331 | Gary King Crnic | Dentist | 971 E Wichita Ave, Russell, KS 67665 | 2006-02-02 |
| 1841783271 | Jodie Rochelle Werth | Dentist | 300 N Main St, Russell, KS 67665-2731 | 2018-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548869878 | Miram Shaheen | Dentist | 600 Marshall St Unit 128, Louisville, KY 40202-3618 | 2020-10-19 |
| 1396351243 | Haaken Reed Magnuson | Dentist | 4600 Taylorsville Rd, Louisville, KY 40220-3530 | 2020-09-16 |
| 1043823586 | Rachad Kudsi | Dentist | 800 Rose St Lexington Ky, Lexington, KY 40536-0001 | 2020-08-25 |
| 1730799933 | Fernanda Yanez Regonesi | Dentist | 740 S Limestone Second Floor Wing C Room E214, Lexington, KY 40536-0001 | 2020-08-03 |
| 1629687181 | Joanna Higdon | Dentist | 4122 Shelbyville Rd Ste 103, Louisville, KY 40207-3206 | 2020-07-30 |
| 1184233702 | Amelia Beth Coleman | Dentist | 16005 Us-23 South, Catlettsburg, KY 41129 | 2020-07-29 |
| 1386253847 | Hannah Pope | Dentist | 6801 Dixie Hwy Ste 128, Louisville, KY 40258-3940 | 2020-07-29 |
| 1144838764 | My Smile Dental Services, Pllc | Dentist | 5014b Preston Hwy, Louisville, KY 40213-2217 | 2020-07-20 |
| 1205462967 | Florence Smiles Dentistry, Pllc | Dentist | 9031 Hwy 42 West, Ste A, Union, KY 41091 | 2020-03-13 |
| 1164068722 | Kentucky On-site Dental Services LLC | Dentist | 307 Longview Park Pl, Louisville, KY 40245-6217 | 2019-11-19 |
| 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.