MILES 2 SMILES, LLC (NPI# 1033593066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033593066 |
| Entity Type | Organization |
| Organization Name | MILES 2 SMILES, LLC |
| Practice Address |
24386 Bunker Hill Rd Monroe OR 97456-9745 |
| Practice Telephone | 5417404694 |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2015-07-20 |
| Authorized Official Name | MS. KYLE ISAACS (EXPANDED PRACTICE DENTAL HYGIENIST) |
| Authorized Official Telephone | 5417404694 |
| Authorized Official Credential | RDHEP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | H6618 | OR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | INDIVIDUAL NPI | 1083026884 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | MILES 2 SMILES, LLC | 24386 Bunker Hill Rd, Monroe, OR 97456 |
| Street Address |
24386 BUNKER HILL RD |
| City | MONROE |
| State | OR |
| Zip Code | 97456-9745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083026884 | Kyle Isaacs | Dental Hygienist | 24386 Bunker Hill Rd, Monroe, OR 97456-9745 | 2014-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114482080 | Nicole Cutting Louie | Massage Therapist | 24990 Orchard Tract Rd, Monroe, OR 97456-8413 | 2019-02-05 |
| 1114225315 | Peter John Cannon | Anesthesiology | 24931 Larson Rd, Monroe, OR 97456-8713 | 2011-03-11 |
| 1790166957 | Elizabeth Williams | Pharmacist | 24614 Williams Rd, Monroe, OR 97456-9437 | 2015-06-13 |
| 1588190193 | Samantha Aldabe | Licensed Practical Nurse | 26889 Reiling Ave, Monroe, OR 97456-9459 | 2017-05-03 |
| 1639389638 | Monroe School District 1j | Local Education Agency (LEA) | 365 N 5th St, Monroe, OR 97456-9506 | 2007-05-22 |
| 1235299140 | Benton County | Clinic/Center | 610 Dragon Dr, Monroe, OR 97456-9604 | 2006-12-11 |
| 1124594080 | Doninica N Roberts | Registered Nurse | 610 Dragon Dr, Monroe, OR 97456-9604 | 2018-10-18 |
| 1548778905 | Gabriella Meza | Technician | 610 Dragon Dr, Monroe, OR 97456-9604 | 2018-01-18 |
| 1124533161 | Kelsey Rollins | Technician | 610 Dragon Dr, Monroe, OR 97456-9604 | 2017-12-13 |
| 1982130597 | Carol Ann Shu | Student in an Organized Health Care Education/Training Program | 610 Dragon Dr, Monroe, OR 97456-9604 | 2017-05-03 |
| Find all providers in zip 97456 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083026884 | Kyle Isaacs | Dental Hygienist | 24386 Bunker Hill Rd, Monroe, OR 97456-9745 | 2014-05-28 |
| 1669803680 | Elinne Wright | Dental Hygienist | 22131 Old Owen Rd, Monroe, WA 98272-9625 | 2013-12-01 |
| 1588952915 | Jodi L Manske | Dental Hygienist | 2253 16th St, Monroe, WI 53566-2604 | 2011-07-19 |
| 1609101377 | Robbyn L Kuester | Dental Hygienist | N2584 Richland Rd, Monroe, WI 53566-9555 | 2009-10-13 |
| 1770785891 | Tara Smith | Dental Hygienist | 400 State Route 17m, Monroe, NY 10950 | 2007-06-01 |
| 1245728211 | Michael Joseph Messina | Dental Hygienist | 49 Forest Rd, Monroe, NY 10950-2923 | 2018-04-25 |
| 1750803524 | Phami Lieu | Dental Hygienist | 17707 W Main St, Monroe, WA 98272-1967 | 2017-07-12 |
| 1366986226 | Irene Eva Geosits | Dental Hygienist | 91 Lakes Rd, Monroe, NY 10950-2613 | 2016-12-12 |
| 1649694118 | Golden Years Smiles LLC | Dental Hygienist | 22131 Old Owen Rd, Monroe, WA 98272-9625 | 2014-02-04 |
| 1750712774 | Kala Rose Wilson | Dental Hygienist | 22131 Old Owen Rd, Monroe, WA 98272-9625 | 2013-12-01 |
| Find all providers in MONROE | ||||
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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.