DR. RICHARD D DAVIDSON (NPI# 1952462749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952462749 |
| Entity Type | Individual |
| Full Name | DR. RICHARD D DAVIDSON |
| Credential | D.M.D. |
| Practice Address |
703 N Niles Ave Tuscola IL 61953-1059 |
| Practice Telephone | 2172535216 |
| Practice Fax Number | 2172534949 |
| Mailing Telephone | 2172535216 |
| Mailing Fax Number | 2172534949 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124536305 | Richard Isaac Davidson | Licensed Practical Nurse | 22447 24th Ave S, Des Moines, WA 98198-7103 | 2018-01-22 |
| 1003117672 | Richard Lloyd Davidson | Nurse Anesthetist, Certified Registered | 237 Lake Terrace Dr, Hendersonville, TN 37075-5148 | 2010-11-12 |
| 1992983407 | Richard David Davidson | Counselor | 3718 S Elm Pl, Suite 3718, Broken Arrow, OK 74011-1803 | 2008-02-06 |
| 1003956673 | Richard Michael Davidson | Optometrist | 8025 Tysons Corner Ctr, Mc Lean, VA 22102-4525 | 2007-02-06 |
| 1497852743 | Richard Michael Davidson | Chiropractor | 1449 Yamato Rd, Ste 2, Boca Raton, FL 33431-4471 | 2006-09-20 |
| 1902813264 | Richard Davidson | Dentist | 512 W Broadway, Cedarhurst, NY 11516-1612 | 2006-08-01 |
| 1598714867 | Richard Trevor Davidson | Physical Therapist | 2603 W Pleasant Grove Rd, Ste 104, Rogers, AR 72758-5804 | 2006-05-06 |
| 1891096186 | Richard Summerfield Davidson | Counselor | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2010-11-03 |
| 1174732416 | Richard Davidson | Dentist | 950 Francis Pl, Suite 117, Clayton, MO 63105-2465 | 2007-05-22 |
| 1780774455 | Richard Davidson | Ophthalmology | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2006-10-13 |
| Street Address |
703 N NILES AVE |
| City | TUSCOLA |
| State | IL |
| Zip Code | 61953-1059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912036385 | Prairie Circle Dental, P.C. | Clinic/Center | 703 N Niles Ave, Tuscola, IL 61953-1059 | 2007-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336545581 | Paul H. Byron | Hearing Instrument Specialist | 602 E. Southline Road, Audibel Hearing Aids, Tuscola, IL 61953 | 2014-11-17 |
| 1679851232 | Beth Ann Wiessing | Speech-Language Pathologist | 1601 East County Road 850 North, Tuscola, IL 61953 | 2011-08-01 |
| 1538356480 | Bart M Tate | Physical Therapist | 301 East Southline Rd, Tuscola, IL 61953 | 2007-09-25 |
| 1972724979 | Kimberly B Whitaker | Family Medicine | 1100 Tuscola Blvd, Sbl Tuscola Clinic, Tuscola, IL 61953 | 2007-05-01 |
| 1396856688 | Tuscola Pain & Wellness Center Sc | Chiropractor | 902 S Court Suite 2, Tuscola, IL 61953 | 2006-08-31 |
| 1225089626 | Nathan L Roberts | Family Medicine | 301 E. Southline Road, Tuscola, IL 61953 | 2006-05-12 |
| 1326008137 | Jamison T Boyd | Optometrist | 902 S Court St, Suite #1, Tuscola, IL 61953 | 2006-03-24 |
| 1629405907 | Ashley K Tennill | Nurse Practitioner | 1100 Tuscola Blvd, Sbl Tuscola Walk In Clinic, Tuscola, IL 61953 | 2013-10-02 |
| 1487892865 | Swarnalatha Jaliparthi | Family Medicine | 301 E. Southline Road, Tuscola, IL 61953 | 2009-01-23 |
| 1295834901 | Sally J Salmons | Family Medicine | 301 E. Southline Road, Tuscola, IL 61953 | 2006-09-21 |
| Find all providers in zip 61953 | ||||
| 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 |
|---|---|---|---|---|
| 1619261658 | Stanley Lee Cross | Dentist | 827 Lakeshore Dr, Tuscola, IL 61953-9240 | 2011-06-07 |
| 1376967711 | George Rotramel | Dentist | 113 E Pembroke St, Tuscola, IL 61953-1427 | 2014-02-05 |
| 1720425655 | Chan Lin | Dentist | 1250 E Us Highway 36, Tuscola, IL 61953-8020 | 2013-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629076 | Align Dental Group PC. | Dentist | 2605 Grand Ave Ste A, Waukegan, IL 60085-2410 | 2020-11-06 |
| 1881293801 | Wh Il Dental Pllc | Dentist | 18086 N. Kilpatrick Ave., Chicago, IL 60639 | 2020-10-21 |
| 1982201505 | Ashley Rodriguez | Dentist | 2208 N Mannheim Rd, Melrose Park, IL 60164-1837 | 2020-10-06 |
| 1831796853 | Shaista Hasan | Dentist | 1840 Harvest Ln, Glendale Heights, IL 60139-1939 | 2020-10-02 |
| 1558978841 | William Mitsos Dds | Dentist | 1291 S. 7th Ave, Kankakee, IL 60901 | 2020-09-30 |
| 1477160190 | Smilesbysangha LLC | Dentist | 118 Barrington Commons Ct Ste 201, Barrington, IL 60010-3259 | 2020-09-27 |
| 1477160331 | Samer Mosoof | Dentist | 9 Monroe Ct, Streamwood, IL 60107-1365 | 2020-09-24 |
| 1881208478 | Poornima Swamy Gangaji | Dentist | 760 N, Illinois Rte 59, Ste100, Naperville, IL 60563 | 2020-09-01 |
| 1275145534 | Moondrift Sleep Solutions, LLC | Dentist | 837 N Wilke Rd, Arlington Heights, IL 60005-1047 | 2020-08-18 |
| 1023629664 | Mockunas Dental PC | Dentist | 13530 S Route 59 Unit 120, Plainfield, IL 60544-5659 | 2020-08-16 |
| Find all providers with the same taxonomy | ||||
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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.