DR. JUAN OMAR MANCERA (NPI# 1871976118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871976118 |
| Entity Type | Individual |
| Full Name | DR. JUAN OMAR MANCERA |
| Credential | D.D.S. |
| Practice Address |
1301 Peachers Mill Rd Clarksville TN 37042-4610 |
| Practice Telephone | 9315729152 |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2015-07-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 10119 | TN | Dental Providers |
| Street Address |
1301 PEACHERS MILL RD |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37042-4610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124000245 | Ernest Mac Edington Jr. | Dentist | 1301 Peachers Mill Rd, Clarksville, TN 37042-4610 | 2005-11-15 |
| 1609396308 | Brooke Ashley Mcvey | Dentist | 1301 Peachers Mill Rd, Clarksville, TN 37042-4610 | 2017-06-23 |
| 1225477482 | Britney Dawn Taylor | Dentist | 1301 Peachers Mill Rd, Clarksville, TN 37042-4610 | 2013-06-21 |
| 1497066237 | Crystal Dawn Manners | Dentist | 1301 Peachers Mill Rd, Clarksville, TN 37042-4610 | 2010-06-26 |
| 1700100302 | Olivia Courtney Stovall-wilson | Dentist | 1301 Peachers Mill Rd, Clarksville, TN 37042-4610 | 2010-03-25 |
| 1093864605 | Carol J Montee | Dentist | 1301 Peachers Mill Rd, Clarksville, TN 37042-4610 | 2007-01-10 |
| 1689722134 | Steven R Newman | Dentist | 1301 Peachers Mill Rd, Clarksville, TN 37042-4610 | 2007-01-08 |
| 1780743476 | Kanika L. Davila | Dentist | 1301 Peachers Mill Rd, Clarksville, TN 37042-4610 | 2006-12-08 |
| 1043388713 | Clarksville Dental Center, Pllc | Dentist | 1301 Peachers Mill Rd, Clarksville, TN 37042-4610 | 2006-12-01 |
| 1265415996 | Ernest James Dewald | Dentist | 1301 Peachers Mill Rd, Clarksville, TN 37042-4610 | 2005-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275186603 | Elizabeth Louise Eckart | Physical Therapist | 305 Rue Le Mans Dr., Clarksville, TN 37042 | 2019-07-24 |
| 1740844802 | Lana Sperry | Speech-Language Pathologist | 1255 Northfield Drive, Clarksville, TN 37042 | 2019-04-24 |
| 1497263941 | Cumberland Surgical Arts and Associates, Pllc | Oral & Maxillofacial Surgery | 1275 Parkway Place, Clarksville, TN 37042 | 2018-01-18 |
| 1336590058 | Bobby Bonner Jr. | Case Manager/Care Coordinator | 1697putnum Drive, Clarksville, TN 37042 | 2016-06-23 |
| 1184078040 | Sheena Williams | Counselor | 901 Martin St., Clarksville, TN 37042 | 2016-04-18 |
| 1568847069 | Sara Hyun Seung Oh | Dentist | 1692 Fort Campbell Blvd, Clarksville, TN 37042 | 2015-07-25 |
| 1346621323 | Rocky Mountain Holdings, LLC | Ambulance | 248 Outlaw Field Rd, Clarksville, TN 37042 | 2015-06-15 |
| 1528448974 | Tennessee State Veterans Home Board | Skilled Nursing Facility | 250 Arrowood Drive, Clarksville, TN 37042 | 2015-06-01 |
| 1851709331 | Brent Michael Hazlewood | Dentist | 466 Tiny Town Rd, Ste A, Clarksville, TN 37042 | 2014-07-28 |
| 1619304318 | Regina G Goldwire | Nurse Practitioner | 351 Dover Road, North Clarksville Medical Center, Clarksville, TN 37042 | 2013-09-26 |
| Find all providers in zip 37042 | ||||
| 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 |
|---|---|---|---|---|
| 1851924369 | Renew Dental | Dentist | 1835 Madison St Ste A, Clarksville, TN 37043-6547 | 2020-02-13 |
| 1861057044 | Hodiah Dmd LLC | Dentist | 6100 Daylong Ln Ste 204, Clarksville, MD 21029-1655 | 2019-05-03 |
| 1477014488 | Emily Allen | Dentist | 930 Hwy 76, Clarksville, TN 37040 | 2019-03-31 |
| 1972064186 | Tania Faruqi | Dentist | 1777 Madison St Ste 100, Clarksville, TN 37043-4912 | 2019-03-29 |
| 1689176471 | Tiny Town Smiles Dentistry, PC | Dentist | 1466 Tiny Town Rd Ste A, Clarksville, TN 37042-8292 | 2018-03-07 |
| 1871095133 | Hnarakis Dental Pllc | Dentist | 894 Highway 76 Ste 105, Clarksville, TN 37043-5396 | 2018-03-02 |
| 1245742931 | Andrea L Edelstein | Dentist | 1818 Memorial Dr., Unit 47, Clarksville, TN 37043 | 2017-11-02 |
| 1700306032 | Sahiti Kandati | Dentist | 1777 Madison Ste Ste 100, Clarksville, TN 37043 | 2017-06-27 |
| 1154862035 | Rg Dental Jeffersonville LLC | Dentist | 1005 E Lewis and Clark Pkwy, Clarksville, IN 47129-2201 | 2017-03-13 |
| 1104362946 | Clarksville Modern Dentistry,pc | Dentist | 1777 Madison Ste Suite 100, Clarksville, TN 37043 | 2017-01-18 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37042 |
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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.