DR. WILLIS TILMON BEENE (NPI# 1922116292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922116292 |
| Entity Type | Individual |
| Full Name | DR. WILLIS TILMON BEENE |
| Credential | DDS |
| Practice Address |
615 N. Jackson St. Magnolia AR 71754 |
| Mailing Address |
P.o. Box 1133 615 N. Jackson St. Magnolia AR 71754 |
| Practice Telephone | 8702341110 |
| Practice Fax Number | 8702341112 |
| Mailing Telephone | 8702341110 |
| Mailing Fax Number | 8702341112 |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2010-02-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2106 | AR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 101570608 | 05 |
| Street Address |
615 N. JACKSON ST. |
| City | MAGNOLIA |
| State | AR |
| Zip Code | 71754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578989893 | Debra Kay Mccurry | Licensed Practical Nurse | 3627 Hwy 57 North, Magnolia, AR 71754 | 2014-03-11 |
| 1992147300 | Laci Lynn Baurer | Specialist/Technologist | 100 East University, Magnolia, AR 71754 | 2013-07-26 |
| 1346316999 | Abilities Unlimited Inc of Magnolia Ar | Clinic/Center | 2000 South Washington, Magnolia, AR 71754 | 2006-11-27 |
| 1588683940 | Jan Kiilsgaard | Specialist/Technologist | 100 E. University, Magnolia, AR 71754 | 2006-07-18 |
| 1518350255 | Jeremy Jini Malone | Specialist/Technologist | 100 East University, Magnolia, AR 71754 | 2015-03-05 |
| 1861445082 | Magnolia Regional Medical Center | Clinic/Center | 707 N Washington, Magnolia, AR 71754 | 2006-05-18 |
| 1235242421 | Emmalee Beene Gregory | Dentist | 1018 N Washington St, Magnolia, AR 71754-0432 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215800 | Kellie Lynn Myers | Nurse Practitioner | 26015 Penguin St, Magnolia, TX 77355-6249 | 2020-11-06 |
| 1174122121 | John Mychal Thompson | Nurse Practitioner | 1411 Terrace, Magnolia, AR 71753-2040 | 2020-10-21 |
| 1902405905 | Cambron Counseling | Counselor | 33300 Egypt Ln Ste K900, Magnolia, TX 77354-3338 | 2020-10-21 |
| 1861091019 | Erin Quinn | Occupational Therapy Assistant | 7130 Durango Creek Dr, Magnolia, TX 77354-2781 | 2020-10-20 |
| 1497353411 | Evarose Terese Pepin | Behavior Technician | 31218 W Timberloch Trl, Magnolia, TX 77355-5871 | 2020-10-12 |
| 1063019784 | Charlene Phillips | Psychologist | 702 Woodlytown Rd, Magnolia, DE 19962-1622 | 2020-10-06 |
| 1841897048 | Farida Abdalla | Psychologist | 529 W Birdie Ln, Magnolia, DE 19962-3116 | 2020-10-01 |
| 1740897073 | Darlene Cunningham | Psychologist | 128 Glenn Forest Rd, Magnolia, DE 19962-1702 | 2020-09-30 |
| 1962019992 | Nina Galvan | Psychologist | 19 Edgewater Dr, Magnolia, DE 19962-9706 | 2020-09-24 |
| 1053926550 | Privia Medical Group Gulf Coast, Pllc | Internal Medicine | 10020 Research Forest Dr Ste D, Magnolia, TX 77354-6780 | 2020-09-11 |
| Find all providers in MAGNOLIA | ||||
| 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 |
|---|---|---|---|---|
| 1508351016 | Trinity Magnolia Dental Pllc | Dentist | 18640 Fm 1488 Rd Ste I, Magnolia, TX 77354-8517 | 2018-06-27 |
| 1982197083 | Anam Khan | Dentist | 6209 Fm 1488 Rd # M, Magnolia, TX 77354-2508 | 2018-06-13 |
| 1780021956 | Imaging Center of Magnolia Pllc | Dentist | 827 Magnolia Blvd Ste 2, Suite B, Magnolia, TX 77355-8553 | 2013-05-29 |
| 1609123587 | Sarah Wood Norman | Dentist | 7030 Fm 1488 Rd, Suite 200, Magnolia, TX 77354-6771 | 2012-08-09 |
| 1881858017 | Troy C Bonin | Dentist | 5403 Fm 1488 Rd, Ste A-7 (republic of Texas), Magnolia, TX 77354-2524 | 2008-07-16 |
| 1295927770 | Michael Gillogly | Dentist | 6606 Fm 1488 Rd Ste 136, Magnolia, TX 77354-2545 | 2007-08-17 |
| 1952507022 | An Xuan Tran | Dentist | 540 Fresno Drive, Magnolia, NJ 08049 | 2007-06-25 |
| 1033327499 | Robert Mark Tamborello | Dentist | 5403 Fm 1488, #7, Magnolia, TX 77354 | 2007-05-18 |
| 1811104748 | Nancy Goettee Sawyer | Dentist | 18252 Fm 1488 Rd, #120, Magnolia, TX 77354-8506 | 2007-05-17 |
| 1760550479 | James W Rotton Dds Pa | Dentist | 222 North Pine, Suite 4, Magnolia, AR 71753 | 2006-12-01 |
| Find all providers in MAGNOLIA | ||||
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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.