SOUTHERN DENTAL OF BRUNSWICK PLLC (NPI# 1962915959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962915959 |
Entity Type | Organization |
Organization Name | SOUTHERN DENTAL OF BRUNSWICK PLLC |
Practice Address |
8755 Chaffee Road Suite 103 Arlington TN 38002 |
Mailing Address |
Po Box 17151 Jonesboro AR 72403-6720 |
Practice Telephone | 9013829704 |
Enumeration Date | 2017-11-13 |
Last Update Date | 2017-11-13 |
Authorized Official Name | DR. WILLIAM REYNOLDS LITTLE (OWNER) |
Authorized Official Telephone | 8702434406 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
3930 | AR | Dental Providers |
Street Address |
8755 CHAFFEE ROAD SUITE 103 |
City | ARLINGTON |
State | TN |
Zip Code | 38002 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649836636 | Sunshine and Smiles, LLC. | Home Health | 160 Hidden Lake Cove, Arlington, TN 38002 | 2019-05-15 |
1679050934 | Alisha James-scott | Nurse Practitioner | 9025 Us-64, Lakeland, TN 38002 | 2018-07-19 |
1720577513 | Heavenly Senior Transport Services LLC | Non-emergency Medical Transport (VAN) | 5995 Garret Valley Ln, Arlington, TN 38002 | 2018-05-07 |
1346750619 | Heath Bryan Coleman, Dds of Tennessee II, Pllc | Dentist | 5226 Airline Rd, 121, Arlington, TN 38002 | 2017-10-02 |
1528577210 | Celia Mae Noble | Speech-Language Pathologist | 5940 Griffin Rd, Arlington, TN 38002 | 2017-09-25 |
1568996064 | Joshua Davis Bravo | Physical Therapist | 5226 Airline Rd Ste 131, Arlington, TN 38002 | 2017-04-12 |
1952773053 | West Tennessee Community Homes | Intermediate Care Facility, Mentally Retarded | 11003 Highway 70, Arlington, TN 38002 | 2015-10-28 |
1124490222 | West Tennessee Community Homes | Intermediate Care Facility, Mentally Retarded | 11443 Arlington Woods Cove, Arlington, TN 38002 | 2015-10-28 |
1245602341 | West Tennessee Community Homes | Intermediate Care Facility, Mentally Retarded | 11455 Arlington Woods Cove, Arlington, TN 38002 | 2015-10-28 |
1063884153 | West Tennessee Community Homes | Intermediate Care Facility, Mentally Retarded | 11456 Arlington Woods Cove, Arlington, TN 38002 | 2015-10-28 |
Find all providers in zip 38002 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346854718 | Barbara A Lawnicki Dmd PC | Dentist | 1068 Massachusetts Ave, Arlington, MA 02476-4311 | 2020-09-03 |
1700499720 | Kathy Nguyen | Dentist | 4701 S Cooper St Ste 103, Arlington, TX 76017-5904 | 2020-08-28 |
1932718087 | Jenny K Tran | Dentist | 1250 E Pioneer Pkwy Ste 100, Arlington, TX 76010-6422 | 2020-07-24 |
1518575851 | Reza Tahernia & Associates Pllc | Dentist | 1901 N Moore St Ste 501, Arlington, VA 22209-1700 | 2020-07-22 |
1417591587 | Ace Dental Studio Pllc | Dentist | 3100 Matlock Rd Ste 101, Arlington, TX 76015-2993 | 2019-11-01 |
1639724461 | Crystal Smile, Pllc | Dentist | 2611 Jefferson Davis Hwy Ste 200, Arlington, VA 22202-4043 | 2019-08-08 |
1659933786 | Mayra Karen Jackson | Dentist | 6320 Us 287 Hwy Ste 128, Arlington, TX 76001-2868 | 2019-06-28 |
1508426545 | John A Cusumano | Dentist | 4350 N Fairfax Dr #135, 4350 N Fairfax Dr Suite 135, Arlington, VA 22203-1695 | 2019-06-20 |
1316507601 | Deborah Heylim Chung | Dentist | 3565 Lee Hwy # S3b, Arlington, VA 22207-3716 | 2019-06-18 |
1477038800 | Min Sung Kang | Dentist | 3565 Lee Hwy Ste S3b, Arlington, VA 22207-3716 | 2018-10-02 |
Find all providers in ARLINGTON |
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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.