DR. ELGIN KENNETH WALLEY (NPI# 1922117662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922117662 |
Entity Type | Individual |
Full Name | DR. ELGIN KENNETH WALLEY |
Credential | D.D.S. |
Practice Address |
2174 Henry Hill Drive Jackson MS 39204 |
Practice Telephone | 6019223888 |
Practice Fax Number | 6019223871 |
Mailing Telephone | 6019223888 |
Mailing Fax Number | 6019223871 |
Enumeration Date | 2006-08-29 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
1588-730R17/80 | MS | Dental Providers |
Street Address |
2174 HENRY HILL DRIVE |
City | JACKSON |
State | MS |
Zip Code | 39204 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639797442 | Walk By Faith Not By Sight Homecare | Student in an Organized Health Care Education/Training Program | 2310 Us-80 West, Suite F 1154, Jackson, MS 39204 | 2020-07-08 |
1427593888 | Care First Home Care Agency, Inc | In Home Supportive Care | 931 Hwy 80 Suite 2 B-9, Jackson, MS 39204 | 2016-12-21 |
1134678808 | Yolonda Kinzie | Registered Nurse | 1134 Winter St., Jackson, MS 39204 | 2016-09-23 |
1578983938 | Seaneather Arline Mcgill | Nurse's Aide | 2024 Shady Lane Dr, Jackson, MS 39204 | 2014-04-23 |
1942591128 | Real Solutilons, LLC | Exclusive Provider Organization | 831 Hwy 80 W., Jackson, MS 39204 | 2011-04-22 |
1548405236 | Visions Physical Therapy | Specialist/Technologist | 4700 Robinson Rd, Jackson, MS 39204 | 2008-12-09 |
1588759393 | Donald H Butts | Specialist | 1920 Chadwick Drive, Suite 109, Jackson, MS 39204 | 2006-10-04 |
1003907460 | Patrick E Weldon | Psychiatry & Neurology | 1860 Chadwick Drive, Suite 258, Jackson, MS 39204 | 2006-09-28 |
1376555045 | Linda Nell Hunter | Nurse Practitioner | 1860 Chadwick Dr Ste 150a, Jackson, MS 39204 | 2006-08-12 |
1104871573 | Isd Renal Inc | Clinic/Center | 1828 Raymond Rd, Jackson, MS 39204 | 2006-05-24 |
Find all providers in zip 39204 |
Taxonomy Code | 1223X0400X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Orthodontics and Dentofacial Orthopedics |
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386277291 | Smile Straight Orthodontics-central Ms Pllc | Dentist | 310 W Woodrow Wilson Ave Ste 400, Jackson, MS 39213-7697 | 2020-02-19 |
1467771386 | Eric Richard Buchner | Dentist | 190 Murray Guard Dr, Jackson, TN 38305-3609 | 2010-05-18 |
1962653592 | David F Elliott | Dentist | 10 S New Prospect Rd, Suite 23, Jackson, NJ 08527-1645 | 2008-10-01 |
1194904094 | Bierdeman Othodontics Pa | Dentist | 2680 River Ridge Road, Jackson, MS 39216-5018 | 2007-10-26 |
1366631335 | Stephen E Owens Jr. | Dentist | 1130 S Hwy 89, Jackson, WY 83001 | 2007-10-16 |
1770771495 | Shannon Edward Owens | Dentist | 1130 South Hwy 89, Jackson, WY 83001-0628 | 2007-10-09 |
1407040686 | James Ray Hight Jr. | Dentist | 101 Max Lane Drive, Jackson, TN 38305 | 2007-08-30 |
1821293820 | Kevin J Robinson | Dentist | 77 Northfork Cv, Jackson, TN 38305-7903 | 2007-06-19 |
1295937498 | Dr. Louis B. Guy, Jr.,dds, Mspa | Dentist | 247 Highland Village, Jackson, MS 39211 | 2007-06-01 |
1134349160 | Lloyd B. Wolfe Jr. | Dentist | 406 Briarwood Dr Ste 102, Jackson, MS 39206-3059 | 2007-05-01 |
Find all providers in JACKSON |
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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.