DR. JEFFRY L CUPPS (NPI# 1982879979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982879979 |
| Entity Type | Individual |
| Full Name | DR. JEFFRY L CUPPS |
| Credential | DMD, MS |
| Practice Address |
928 Brookwood Ctr Fenton MO 63026-3474 |
| Practice Telephone | 6363494970 |
| Mailing Telephone | 6363494970 |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-04-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
12399 | MO | Dental Providers |
| Street Address |
928 BROOKWOOD CTR |
| City | FENTON |
| State | MO |
| Zip Code | 63026-3474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871000372 | Allison Egler | Audiologist | 1011 Bowles Ave Ste 405, Fenton, MO 63026 | 2018-01-05 |
| 1629508213 | Holly Brooks Munson | Massage Therapist | 220 Copper Mountain Dr, Fenton, MO 63026 | 2017-06-15 |
| 1073978862 | Naomi Sharon | Nurse Practitioner | 1101 Bowles Avenue, Suite G50, Fenton, MO 63026 | 2015-12-21 |
| 1871981704 | Celtic Private Care of Il & Mo, LLC | In Home Supportive Care | 1653 Larkin Williams Road, Suite 201, Fenton, MO 63026 | 2014-12-30 |
| 1356747513 | Kristina Potts | Nurse Practitioner | 774 Gravois Bluffs Blvd Ste B, Fenton, MO 63026 | 2014-11-14 |
| 1245642420 | Physicians Health Group Medical Inc | General Practice | 960 S. Highway Dr, Fenton, MO 63026 | 2014-05-22 |
| 1598047409 | Kevin Eugene Bruce | Pharmacist | 1210 Sugar Creek, Fenton, MO 63026 | 2011-09-16 |
| 1215186382 | Concentra Health Services, Inc. | Clinic/Center | 128 Matrix Commons Dr., Fenton, MO 63026 | 2008-09-15 |
| 1790954410 | Castlewood Treatment Center LLC | Community/Behavioral Health | 1855 Bowles Ave, Suite 210, Fenton, MO 63026 | 2008-02-27 |
| 1073703617 | Christina R Baeres | Dietitian, Registered | 38 Majestic Ct, Fenton, MO 63026 | 2007-07-30 |
| Find all providers in zip 63026 | ||||
| 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 |
|---|---|---|---|---|
| 1104963297 | Osmond G Jones | Dentist | 540 Old Smizer Mill Rd, Fenton, MO 63026-3538 | 2007-01-30 |
| 1497850572 | Samuel Jon Frydenlund | Dentist | 2325 Shiawassee, Suite 101, Fenton, MI 48430-1792 | 2006-09-14 |
| 1639351497 | Brian Andrew Michalkow | Dentist | 2420 Owen Rd, Suite E, Fenton, MI 48430-3417 | 2007-12-03 |
| 1992887046 | David George Drake | Dentist | 2420 Owen Rd, Fenton, MI 48430-3417 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649878034 | Soh of Missouri Samson Liu PC | Dentist | 810 Ofallon Rd Ste 70, Weldon Spring, MO 63304-8107 | 2020-10-16 |
| 1952918054 | Candid Missouri, LLC | Dentist | 7431 Broadway, Kansas City, MO 64114-1529 | 2020-09-23 |
| 1659915098 | Cheif Smiles LLC | Dentist | 620 E. Us Highway 40, Blue Springs, MO 64014 | 2019-10-29 |
| 1780140459 | Evan W Brown Dds Inc | Dentist | 160 Four Seasons Shopping Ctr, Chesterfield, MO 63017-3104 | 2019-02-18 |
| 1376014852 | Catherine Loner | Dentist | 1470 S New Florissant Rd, Florissant, MO 63031-8198 | 2018-12-10 |
| 1972079556 | Erin Corsi Fraundorf | Dentist | 3009 State Hwy K, O'fallon, MO 63368 | 2018-10-22 |
| 1699281121 | St Louis South Orthodontics | Dentist | 9911 Kennerly Rd Ste H, Saint Louis, MO 63128-2700 | 2017-12-20 |
| 1023557766 | Uncommon Orthodontics By William A. Pickard, Dds, Ms, Pllc | Dentist | 2330 S Range Line Rd Ste E, Joplin, MO 64804-3267 | 2017-02-14 |
| 1023556743 | Mark Humphrey | Dentist | 8657 Old Bonhomme Rd, Saint Louis, MO 63132-3901 | 2017-02-01 |
| 1912458688 | Jerry F. Cash | Dentist | 2844 S Ingram Mill Rd, Springfield, MO 65804-4042 | 2016-10-18 |
| 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.