DR. DAVID TIMOTHY JEANSON (NPI# 1841371119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841371119 |
| Entity Type | Individual |
| Full Name | DR. DAVID TIMOTHY JEANSON |
| Credential | DDS |
| Practice Address |
235 Perry Ave Racine WI 53406 |
| Practice Telephone | 2626376381 |
| Mailing Telephone | 2626376381 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2016-05-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2532 | WI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33422300 | 05 |
| Street Address |
235 PERRY AVE |
| City | RACINE |
| State | WI |
| Zip Code | 53406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164349 | Lynn Huynh | Pharmacist | 5695 Washington Ave, Racine, WI 53406 | 2020-11-06 |
| 1659920049 | Carol Jean Cornejo | Technician | 6528 Heritage Avenue, Mt Pleasant, WI 53406 | 2019-09-09 |
| 1265913958 | Mary Goldbeck | Social Worker | 1775 Newman Rd, Mt Pleasant, WI 53406 | 2018-08-22 |
| 1669963344 | Kelly Nicole Nelson | Registered Nurse | 8800 Washington Ave Ste 200, Mount Pleasant, WI 53406 | 2018-05-29 |
| 1891212163 | Ilona Agata Pryomski | Nurse Practitioner | 9201 Washington Ave, Racine, WI 53406 | 2017-08-27 |
| 1386185106 | Margaret M. Abaogye Dds | Dentist | 4340 Newman Rd., Racine, WI 53406 | 2017-03-13 |
| 1508309212 | Rebecca Koeppen | Dietitian, Registered | 8400 Washington Ave., Racine, WI 53406 | 2016-11-29 |
| 1386194371 | Forefront Dermatology, S.c. | Dermatology | 7200 Washington Ave, Suite 100, Mount Pleasant, WI 53406 | 2016-10-13 |
| 1356891402 | Forefront Dermatology, S.c. | Dermatology | 1515 S Green Bay Rd, Racine, WI 53406 | 2016-10-12 |
| 1861841470 | Leah Marie Johnson | Dentist | 1101 South Airline Road, Racine, WI 53406 | 2016-06-06 |
| Find all providers in zip 53406 | ||||
| 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 |
|---|---|---|---|---|
| 1386185106 | Margaret M. Abaogye Dds | Dentist | 4340 Newman Rd., Racine, WI 53406 | 2017-03-13 |
| 1306297288 | Basia M Kowalik | Dentist | 1076 Bedford Ct, Racine, WI 53406-7010 | 2016-06-22 |
| 1659713790 | Lisa Minkowski | Dentist | 5045 Nature Trl, Racine, WI 53403-4428 | 2013-07-17 |
| 1609184373 | Tnd Associates, Inc. | Dentist | 4915 Washington Ave, Suite B., Racine, WI 53406-4221 | 2010-09-15 |
| 1023244159 | Kimberly A Kind-bauer | Dentist | 4445 Taylor Ave, Racine, WI 53405-4642 | 2009-06-03 |
| 1467665935 | Tiffany Jeannine Smalkoski | Dentist | 4425 Taylor Avenue, Suite 3, Racine, WI 53405-4642 | 2007-05-08 |
| 1568675676 | Anthony John Budzinski | Dentist | 2510 Erie St, Racine, WI 53402-4414 | 2007-05-07 |
| 1962626051 | Richard Lee Anderson | Dentist | 3019 Washington Ave, Racine, WI 53405 | 2007-04-12 |
| 1215058532 | Lakeshore Family Dental Care Sc | Dentist | 3903 Douglas Ave, Racine, WI 53402 | 2007-04-03 |
| 1982736583 | James Ebner Luetzow | Dentist | 6011 Durand Ave, Suite 200, Racine, WI 53406-5060 | 2007-03-09 |
| Find all providers in RACINE | ||||
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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.