DR. LA JUANA DELISE BRAGDON (NPI# 1912034687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912034687 |
| Entity Type | Individual |
| Full Name | DR. LA JUANA DELISE BRAGDON |
| Credential | DDS |
| Practice Address |
565 Howdershell Rd. Florissant MO 63031 |
| Mailing Address |
1934 Suns Up Way Florissant MO 63031 |
| Practice Telephone | 3142499975 |
| Mailing Telephone | 3148302004 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2008-07-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 015977 | MO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 403864614 | 05 |
| Street Address |
565 HOWDERSHELL RD. |
| City | FLORISSANT |
| State | MO |
| Zip Code | 63031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528550019 | A Precious Home Care Solution Cds LLC | Home Health | 2367 Periwinkle Court, Florisant, MO 63031 | 2018-05-31 |
| 1932625415 | Haven of Grooming | Specialist | 51 Florissant Oaks Shop Center, Florissant, MO 63031 | 2017-08-16 |
| 1841696648 | Deandra's Angels Home Care | Home Health | 1985 Lindsay Lane, Florissant, MO 63031 | 2014-11-06 |
| 1871907378 | Daniel Joseph Watson | Ophthalmology | 900 N Highway 67 St, Florissant, MO 63031 | 2014-06-12 |
| 1124449954 | Edgar Micere | Occupational Therapy Assistant | 1 Paul Place Ct, Florissant, MO 63031 | 2013-12-20 |
| 1699019190 | Dushanas Touch of Love Transportation L.l.c | Non-emergency Medical Transport (VAN) | 3011 Oriental Dr, Florissant, MO 63031 | 2012-11-21 |
| 1790038321 | Pleasant Solutions Home Health Care,llc | Community Based Residential Treatment Facility, Mental Illness | 100 Rue St. Francios Suite 107, Saint Louis, MO 63031 | 2012-10-19 |
| 1114279460 | Access Dental & Dentures LLC | Dentist | 565 Howdershell Rd, Florissant, MO 63031 | 2012-10-11 |
| 1982980843 | Lauren Heimberger | Pharmacist | 15390 New Halls Ferry, Florissant, MO 63031 | 2011-10-24 |
| 1578878732 | North County Adult Center LLC | Registered Nurse | 500 Greenway Manor Dr, Florissant, MO 63031 | 2010-08-12 |
| Find all providers in zip 63031 | ||||
| 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 |
|---|---|---|---|---|
| 1861966921 | Midwest Sleep and Snore Treatment LLC | Dentist | 2758 N Highway 67, Florissant, MO 63033-1402 | 2019-01-11 |
| 1598937146 | Kamlesh R Makwana | Dentist | 3208 N Highway 67, Florissant, MO 63033-1646 | 2008-03-24 |
| 1750434742 | Larry William Schulze | Dentist | 1749 N Us Highway 67, Florissant, MO 63033-1901 | 2007-01-21 |
| 1578624086 | Paul Sandford Herrin | Dentist | 395 Derhake Rd, Florissant, MO 63031-7717 | 2006-12-12 |
| 1639237274 | Wm J Miller Dmd PC | Dentist | 1645 N New Florissant Rd, Florissant, MO 63033 | 2006-12-05 |
| 1275629909 | George Mackay Coleman Jr. | Dentist | 14220 Old Halls Ferry Road, Suite 100, Florissant, MO 63034 | 2006-10-04 |
| 1215039987 | Perdita Jay Fisher | Dentist | 11634 W Florissant Ave, Florissant, MO 63033-6723 | 2006-09-02 |
| 1568575090 | John Edgar Gentles Sr. | Dentist | 4143 N Us Highway 67, Florissant, MO 63034-2825 | 2006-08-17 |
| 1801909585 | Richard Allan Lester | Dentist | 3208 N Hwy 67, Florissant, MO 63033-1646 | 2006-08-16 |
| 1366456352 | John Christopher Boain | Dentist | 1001 Dunn Rd, Florissant, MO 63031-8215 | 2006-07-28 |
| Find all providers in FLORISSANT | ||||
| City | FLORISSANT |
| Zip Code | 63031 |
Please comment or provide details below to improve the information on DR. LA JUANA DELISE BRAGDON.
| 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.