JESSICA KHIET QUACH (NPI# 1912525205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912525205 |
| Entity Type | Individual |
| Full Name | JESSICA KHIET QUACH |
| Practice Address |
4940 Kings Mountain Rd Collinsville VA 24078-1812 |
| Mailing Address |
770 Piney Forest Rd Danville VA 24540-2876 |
| Practice Telephone | 2766471494 |
| Mailing Telephone | 4347998825 |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2020-07-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 0401417002 | VA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760019186 | Jessica Quach | Student in an Organized Health Care Education/Training Program | 5246 Brittany Dr, Baton Rouge, LA 70808-9136 | 2020-03-25 |
| 1598003659 | Jessica K Quach | Counselor | 312 Locust St, Akron, OH 44302-1801 | 2013-01-24 |
| Street Address |
4940 KINGS MOUNTAIN RD |
| City | COLLINSVILLE |
| State | VA |
| Zip Code | 24078-1812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558414474 | Michael Eugene Lavinder | Dentist | 4940 Kings Mountain Rd, Collinsville, VA 24078-1826 | 2007-01-22 |
| 1013559327 | Collinsville Dental Associates, PC | Dentist | 4940 Kings Mountain Rd, Collinsville, VA 24078-1812 | 2019-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603434 | Allyson C Dillard | Non-emergency Medical Transport (VAN) | 1998 Virginia Ave Suite A, Collinsville, VA 24078 | 2020-06-09 |
| 1366654808 | Pediatric Dental Care of Virginia | Dentist | 5126 King's Mountain Road, Collinsville, VA 24078 | 2007-05-04 |
| 1114054699 | John William Rhoday | Dentist | 4721 King's Mountain Road, Collinsville, VA 24078 | 2007-02-28 |
| 1205841939 | Denise J Unterbrink | Dentist | 2200 Daniels Creek Rd, Collinsville, VA 24078 | 2006-07-30 |
| 1861414062 | Stephen P Kieselbach | Chiropractor | 3408-1 Virginia Ave., Collinsville, VA 24078 | 2006-07-24 |
| 1114254877 | Julie Brown | Optometrist | 4244 Virginia Ave, Collinsville, VA 24078 | 2009-11-17 |
| 1548491293 | Shannon Marie Zollinger | Optometrist | 4244 Virginia Ave, Collinsville, VA 24078 | 2009-07-29 |
| 1871828756 | Family Preservation Services, Inc | Community/Behavioral Health | 15 Primary School Rd, Collinsville, VA 24078-1104 | 2009-10-09 |
| 1811546831 | Renita Mayhan | Licensed Practical Nurse | 200 Terrace Garden Dr, Collinsville, VA 24078-1134 | 2019-09-11 |
| 1720169378 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 4811 Kings Mountain Rd, Collinsville, VA 24078-1273 | 2006-10-18 |
| Find all providers in zip 24078 | ||||
| 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 |
|---|---|---|---|---|
| 1770013948 | Brandon Prior | Dentist | 1099 Belt Line Rd Ste J-k, Collinsville, IL 62234-4380 | 2017-06-19 |
| 1679925614 | Jaime Woodall | Dentist | 4721 Kings Mountain Rd, Collinsville, VA 24078-1274 | 2016-07-01 |
| 1770883688 | Collinsville Family Dental | Dentist | 9171 A, Old Hwy 19n, Collinsville, MS 39325 | 2010-10-26 |
| 1801932835 | Michael N Schaulat | Dentist | 308 West Clay Street, Collinsville, IL 62234 | 2007-01-29 |
| 1649322561 | Charles Seymour Borden IIi | Dentist | 724 Saint Louis Rd, Collinsville, IL 62234-2032 | 2007-01-18 |
| 1649372327 | Ronald A Zambaldi | Dentist | 3 Collinsport Dr, Collinsville, IL 62234 | 2006-09-02 |
| 1629080866 | Melissa Bowler | Dentist | 1310 W Main St, Collinsville, OK 74021-3012 | 2006-08-13 |
| 1205841939 | Denise J Unterbrink | Dentist | 2200 Daniels Creek Rd, Collinsville, VA 24078 | 2006-07-30 |
| 1477110963 | Spring Dental Collinsville, Pllc | Dentist | 1111 W Main St, Collinsville, OK 74021-3112 | 2019-05-21 |
| 1306401591 | Signature Family Dental | Dentist | 1170 Belt Line Rd, Collinsville, IL 62234-4372 | 2019-05-03 |
| Find all providers in COLLINSVILLE | ||||
| City | COLLINSVILLE |
| Zip Code | 24078 |
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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.