JEREMY DREW KING (NPI# 1982728580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982728580 |
| Entity Type | Individual |
| Full Name | JEREMY DREW KING |
| Credential | D.M.D. |
| Practice Address |
1381 Johnny Johnson Drive Brookhaven MS 39601-9641 |
| Practice Telephone | 6018232990 |
| Practice Fax Number | 6018232991 |
| Mailing Telephone | 6018232990 |
| Mailing Fax Number | 6018232991 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
339006 | MS | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164939849 | Jeremy Keith King | Specialist/Technologist | 360 Rebels Cir, Blue Ridge, GA 30513-8137 | 2018-01-04 |
| 1235394685 | Jeremy Richard King | Dentist | 1293 E Mcandrews Rd, Medford, OR 97504-6103 | 2008-07-25 |
| 1235390907 | Jeremy David King | Optometrist | 15702 East Highway 9, Norman, OK 73026 | 2008-06-24 |
| 1932371093 | Jeremy Malcolm King | Dentist | 4005 Nicholson Dr, Apt #2613, Baton Rouge, LA 70808-8402 | 2008-03-29 |
| 1013982529 | Jeremy Alan King | Obstetrics & Gynecology | 2330 W Joppa Rd, Suite 301, Lutherville, MD 21093-4609 | 2006-02-18 |
| 1073599890 | Jeremy C King | Family Medicine | 2510 Bellevue Medical Center Dr Ste 200, Bellevue, NE 68123-1520 | 2005-12-22 |
| 1770192973 | Jeremy King | Registered Nurse | Hwy 160 Mp 394.3, Kayenta, AZ 86033-0368 | 2020-07-24 |
| 1073000345 | Jeremy R King | Registered Nurse | 330 S Stillaguamish Ave, Arlington, WA 98223-1642 | 2018-04-22 |
| 1194229658 | Jeremy King | Student in an Organized Health Care Education/Training Program | 6850 Lake Nona Blvd, Orlando, FL 32827-7408 | 2018-03-20 |
| 1144731258 | Jeremy King | Counselor | 2195 3rd Ave, New York, NY 10035-3529 | 2017-10-16 |
| Street Address |
1381 JOHNNY JOHNSON DRIVE |
| City | BROOKHAVEN |
| State | MS |
| Zip Code | 39601-9641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093329633 | Mary Lindsey Lumley | Nurse Practitioner | 620 Hwy 51, Brookhaven, MS 39601 | 2020-09-01 |
| 1306371687 | Rocky Mountain Holdings, LLC | Ambulance | 411 Highway 51 N, Brookhaven, MS 39601 | 2017-04-25 |
| 1043759269 | Candace C Turner | Counselor | 860 E River Pl Suite 100, Jackson, MS 39601 | 2017-02-21 |
| 1619419694 | Therapy Nook PC | Speech-Language Pathologist | 520 Schwem Avenue, Brookhaven, MS 39601 | 2016-11-08 |
| 1851742639 | Melanie Smith | Specialist/Technologist | 325 Low Water Lane, Brookhaven, MS 39601 | 2016-06-23 |
| 1134597107 | Passionate Care Home Health,llc | Home Health | 537 St Charles Places, Brookhaven, MS 39601 | 2015-09-09 |
| 1205218690 | Nurse Practitioner Professionals, Pllc | Clinic/Center | 427 Highway 51 Se, Kings Daughters Medical Center-wound Healing Center, Brookhaven, MS 39601 | 2015-06-23 |
| 1043639289 | Joseph S Moak Jr Md Pa | Internal Medicine | 1040 Biglane Drive, Brookhaven, MS 39601 | 2014-04-15 |
| 1902239197 | Melanie Hammill Bishop | Pharmacist | 427 Ms Highway 51 North, Brookhaven, MS 39601 | 2013-08-12 |
| 1386930113 | Hospice Advantage, LLC. | Hospice Care, Community Based | 120 W Cherokee St, Brookhaven, MS 39601 | 2011-06-20 |
| Find all providers in zip 39601 | ||||
| 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 |
|---|---|---|---|---|
| 1023653557 | Mcnumb Dental PC | Dentist | 1441 Dresden Dr Ne Ste 250, Brookhaven, GA 30319-3585 | 2019-11-07 |
| 1124470240 | Gamble Dentalsmart, PC | Dentist | 3307 Buford Hwy Ne, Brookhaven, GA 30329-1709 | 2016-07-13 |
| 1205138708 | Dr Daniel J Patti D.m.d., Pa | Dentist | 439 North Jackson St., Suite E, Brookhaven, MS 39601-2912 | 2010-12-03 |
| 1841435609 | Catherine Anne West | Dentist | 130 E Brookhaven Rd, Brookhaven, PA 19015-2310 | 2008-12-09 |
| 1467616821 | Nicolas A Belk | Dentist | 321 W Cherokee St, Brookhaven, MS 39601-3219 | 2008-07-15 |
| 1922203306 | Brookhaven Smile Center, Inc | Dentist | 1381 Johnny Johnson Dr, Brookhaven, MS 39601-9641 | 2007-06-18 |
| 1164546123 | Richard Francis Blonski | Dentist | 2910 Edgmont Ave, Brookhaven, PA 19015-3202 | 2007-03-16 |
| 1326179524 | Robert M Chideckel,dmd | Dentist | 3309 Edgmont Ave, Brookhaven, PA 19015-2830 | 2007-03-08 |
| 1508903048 | Swati M Kandalkar | Dentist | 13 Corporate Blvd Ne Ste 120, Brookhaven, GA 30329-1905 | 2007-02-01 |
| 1104972488 | Nancy Jane Myerson | Dentist | 3575 Durden Dr Ne Ste 102, Brookhaven, GA 30319 | 2007-01-26 |
| Find all providers in BROOKHAVEN | ||||
| City | BROOKHAVEN |
| Zip Code | 39601 |
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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.