MODELEVSKY DDS PA


Address: 906 Osler Dr, Jonesboro, AR 72401-4366
Phone: 8709728570

MODELEVSKY DDS PA (NPI# 1922267657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922267657
Entity Type Organization
Organization Name MODELEVSKY DDS PA
Practice Address 906 Osler Dr
Jonesboro
AR 72401-4366
Mailing Address Po Box 1920
Jonesboro
AR 72403-1920
Practice Telephone 8709728570
Practice Fax Number 8709725451
Mailing Telephone 8709728570
Mailing Fax Number 8709725451
Enumeration Date 2008-06-06
Last Update Date 2012-06-19
Authorized Official Name TERI MODELEVSKY (OFFICE MANAGER)
Authorized Official Telephone 8709728570
Authorized Official Credential JD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QS0112X Clinic/Center
Specialization: Oral and Maxillofacial Surgery
2302 AR Ambulatory Health Care Facilities

Office Location

Street Address 906 OSLER DR
City JONESBORO
State AR
Zip Code 72401-4366

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407453368 Mariah Kay Jackson Physical Therapy Assistant Creative Kids Therapy, Jonesboro, AR 72401 2020-10-05
1821606005 Kafayat Folake Iyanda Specialist/Technologist 2105 East Aggie Rd, Jonesboro, AR 72401 2020-07-14
1053936310 Josh Roberts Physical Therapist 1010 South Main St, Jonesboro, AR 72401 2020-06-12
1003449687 Amy Mary Elizabeth Daughhetee Nurse Practitioner 225 East Washington Ave, Jonesboro, AR 72401 2020-02-21
1871126698 Sarah Lowtharp Clinical Nurse Specialist 225 East Washington Ave., Jonesboro, AR 72401 2020-02-20
1891335519 Mallori Miller Case Manager/Care Coordinator 837 Willett Rd, Jonesboro, AR 72401 2020-01-10
1265073704 Michael Bruce Collie Registered Nurse 837 Williett Road, Jonesboro, AR 72401 2019-10-07
1285283432 Jonesboro Ambulatory Surgery Center, LLC Clinic/Center 1710 Mayfield Dr, Jonesboro, AR 72401 2019-09-10
1841843943 Destinee Katrina Cole Specialist/Technologist 2015 Aggie Rd, Jonesboro, AR 72401 2019-07-18
1699250472 Jessica Marie Mcnatt Occupational Therapist 907 County Road 753, Jonesboro, AR 72401 2018-09-27
Find all providers in zip 72401

Taxonomy Information

Taxonomy Code 261QS0112X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083842611 Bryan Darling, Dds, Md, Pa Clinic/Center 317 Southwest Drive, Suite A, Jonesboro, AR 72401 2009-06-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1124491733 Oral Surgery of Central Arkansas Clinic/Center 2504 Mccain Blvd Ste 202, North Little Rock, AR 72116-7612 2015-11-04
1174044952 Dr. Stephen C. Fisher LLC Clinic/Center 1101 E Poplar St, Clarksville, AR 72830-4420 2017-06-30
1629438015 Thomas A. Sarna, Dds Pllc Clinic/Center 2025 N Green Acres Rd, Fayetteville, AR 72703-2619 2016-02-29
1518325182 Thomas A. Sarna Dds Pllc Clinic/Center 2411 Fayetteville Rd, Suite C, Van Buren, AR 72956-6520 2016-02-10
1508223827 Thomas A. Sarna, Dds Pllc Clinic/Center 2025 N Green Acres Rd, Fayetteville, AR 72703-2619 2016-01-16
1346612728 Oral Surgery of Central Arkansas Clinic/Center 707 Parkway St Ste 103, Conway, AR 72034-5363 2015-10-26
1518233691 Mickey W. Lindsey D.d.s.,p.a. Clinic/Center 1920 W Washington St, Suite A, Camden, AR 71701-3134 2012-03-22
1841461274 Arkansas Oral Surgery Clinic/Center 2425 Prince St, Suite 2, Conway, AR 72034-3746 2008-03-13

Competitor

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City JONESBORO
Zip Code 72401

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Dataset Information

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.

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