DR. PRADEEP ADATROW (NPI# 1992803571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992803571 |
| Entity Type | Individual |
| Full Name | DR. PRADEEP ADATROW |
| Credential | DDS |
| Practice Address |
7135 Getwell Rd Ste 100 Southaven MS 38672-9659 |
| Practice Telephone | 6626554868 |
| Mailing Telephone | 6626554868 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-06-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 3727-13 | MS | Dental Providers |
| N | 1223P0300X |
Dentist Specialization: Periodontics |
PER-505-16 | MS | Dental Providers |
| N | 1223P0300X |
Dentist Specialization: Periodontics |
8586 | TN | Dental Providers |
| N | 1223P0700X |
Dentist Specialization: Prosthodontics |
PROS-504-16 | MS | Dental Providers |
| N | 1223P0700X |
Dentist Specialization: Prosthodontics |
8586 | TN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | DENTAL LICENSE | 3727-13 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 399 Southcrest Ct, Suite C, Southaven, MS 386714790 | 9016062800 |
| Street Address |
7135 GETWELL RD STE 100 |
| City | SOUTHAVEN |
| State | MS |
| Zip Code | 38672-9659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100826 | Sarah Kathryn Pratt | Physical Therapist | 5271 Getwell Road, Suite A, Southaven, MS 38672 | 2020-09-24 |
| 1356713606 | Deadra Dennis | Behavioral Analyst | 2816 Calico Rock Cv, Southaven, MS 38672 | 2015-10-27 |
| 1568727352 | Patricia Leanne Lewis | Family Medicine | 5908 Getwell Rd, Southaven, MS 38672 | 2012-07-09 |
| 1417183922 | Mississippi Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2945 Goodman Road East, Southaven, MS 38672 | 2009-06-10 |
| 1568609998 | Susan Orsland | Physical Therapist | 4355 Genevieve Drive, Southaven, MS 38672 | 2009-01-07 |
| 1659516524 | Stacy L Sanders | Audiologist | 5740 Getwell Rd. Building 3 Unit B, Southaven, MS 38672 | 2008-12-08 |
| 1295927226 | Tracey F Petrides | Family Medicine | 5779 Getwell Road, Building D, Suite 3, Southaven, MS 38672 | 2007-08-14 |
| 1538288741 | Bruce A Denney | Dentist | 7125 Getwell Road, Suite 102, Southaven, MS 38672 | 2007-03-28 |
| 1154480150 | Kimberly Marie Metcalf | Social Worker | 7165-g Getwell Rd., Southaven, MS 38672 | 2006-12-06 |
| 1346318441 | Deborah Verucchi | Nurse Practitioner | 5740 Getwell Rd Ste B, Southaven, MS 38672 | 2006-11-30 |
| Find all providers in zip 38672 | ||||
| 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 |
|---|---|---|---|---|
| 1487063053 | Mina Zaki | Dentist | 1100 Church Rd W Ste 119, Southaven, MS 38671-7154 | 2014-08-08 |
| 1194138503 | Cynthia E Brown | Dentist | 50 Goodman Rd W Ste 2, Southaven, MS 38671-9403 | 2014-06-04 |
| 1003098609 | Randy Lee Sullivan | Dentist | 7080 Greenbriar Dr, Randy L Sullivan Dmd, Southaven, MS 38671 | 2007-12-05 |
| 1538288741 | Bruce A Denney | Dentist | 7125 Getwell Road, Suite 102, Southaven, MS 38672 | 2007-03-28 |
| 1417074857 | Alane Furlotte Holliday | Dentist | 35 Goodman Rd W, Suite F, Southaven, MS 38671-9485 | 2007-03-22 |
| 1548328180 | Tommy Lester Cox | Dentist | 87 Stateline Rd E, Southaven, MS 38671 | 2006-12-05 |
| 1720151228 | Joy Franklin Huggins | Dentist | 87 Statelwe Rd East, Southaven, MS 38671 | 2006-11-15 |
| 1255401030 | Vernon Charles Pennington | Dentist | 1571 Stateline, Southaven, MI 38671 | 2006-11-08 |
| 1528084829 | Bettye Ruth Baptist-wilson | Dentist | 1305 Church Rd E, Southaven, MS 38671-9711 | 2006-07-14 |
| 1043557085 | Main Street Dental | Dentist | 8747 Northwest Dr, Southaven, MS 38671-2409 | 2013-01-10 |
| Find all providers in SOUTHAVEN | ||||
Please comment or provide details below to improve the information on DR. PRADEEP ADATROW.
| 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.