MS. JUDY LYNN FORSE (NPI# 1043562549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043562549 |
| Entity Type | Individual |
| Full Name | MS. JUDY LYNN FORSE |
| Other Name | JUDY DAWSON |
| Credential | RDH |
| Practice Address |
12165 Elm St Princess Anne MD 21853-1358 |
| Mailing Address |
Po Box 1978 Salisbury MD 21802-1978 |
| Practice Telephone | 4106515151 |
| Practice Fax Number | 4106514256 |
| Mailing Telephone | 4107491015 |
| Mailing Fax Number | 4107490654 |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2018-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 6642 | MD | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 119591300 | 05 |
| Street Address |
12165 ELM ST |
| City | PRINCESS ANNE |
| State | MD |
| Zip Code | 21853-1358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407849920 | Three Lower Counties Community Services,inc. | Clinic/Center | 12165 Elm St, Princess Anne, MD 21853-1358 | 2005-08-30 |
| 1164041703 | Roli Emiko | Dentist | 12165 Elm St, Princess Anne, MD 21853-1358 | 2020-04-14 |
| 1013536051 | Antonia Sonte Neal | Student in an Organized Health Care Education/Training Program | 12165 Elm St, Princess Anne, MD 21853-1358 | 2020-04-09 |
| 1821627589 | Michelle Ayoroa-perez | Dentist | 12165 Elm St, Princess Anne, MD 21853-1358 | 2020-04-05 |
| 1649809450 | Surina Das | Student in an Organized Health Care Education/Training Program | 12165 Elm St, Princess Anne, MD 21853-1358 | 2020-04-03 |
| 1578113494 | Remington Charles Glenn Dewey | Dental Hygienist | 12165 Elm St, Princess Anne, MD 21853-1358 | 2019-09-12 |
| 1982259289 | Elisabeth Anne Boyko | Dental Hygienist | 12165 Elm St, Princess Anne, MD 21853-1358 | 2019-08-05 |
| 1790346229 | Jacklyn Aliza Pivovarov | Dentist | 12165 Elm St, Princess Anne, MD 21853-1358 | 2019-06-25 |
| 1023571726 | Jaswinder Singh | Dentist | 12165 Elm St, Princess Anne, MD 21853-1358 | 2019-04-09 |
| 1295298990 | Sukhvir Kaur | Dentist | 12165 Elm St, Princess Anne, MD 21853-1358 | 2019-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205478013 | Zachary Castell | Counselor | 30665 Student Services Center Lane, Princess Anne, MD 21853 | 2019-10-14 |
| 1659798759 | Brittany Leigh Heffernan | Dentist | 12165 Elm Street, Princess Anne, MD 21853 | 2014-03-26 |
| 1750670519 | Earl Gene Grantz | Pharmacist | 1251 Brittingham Lane, Rite Aid Pharmacy, Princess Anne, MD 21853 | 2011-04-01 |
| 1356554018 | Somerset County Health Department | Public Health or Welfare | 11674 Somerset Avenue, Princess Anne, MD 21853 | 2007-05-08 |
| 1801008479 | Cedric Rashaw | Counselor | 1 Umes Backbone Road, Princess Anne, MD 21853 | 2007-05-04 |
| 1053408641 | Nancy V Lorsong | Nurse Practitioner | Backbone Rd, Charles Drew Student Health Center, Princess Anne, MD 21853 | 2006-10-06 |
| 1154354744 | Three Lower Counties Community Services, Inc. | Clinic/Center | 12145 Elm Street, Princess Anne, MD 21853 | 2006-07-08 |
| 1750855797 | Rebecca Coryell | Physician Assistant | 12302 Somerset Ave, Suite A, B, Princess Anne, MD 21853 | 2019-01-13 |
| 1285182857 | Bryant Julian Howard | Social Worker | 12145 Elm St, Princess Anne, MD 21853 | 2016-09-13 |
| 1740490150 | Jon R Spence | Pharmacist | 12145 Elm Street, Princess Anne, MD 21853 | 2007-05-23 |
| Find all providers in zip 21853 | ||||
| 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 |
|---|---|---|---|---|
| 1578113494 | Remington Charles Glenn Dewey | Dental Hygienist | 12165 Elm St, Princess Anne, MD 21853-1358 | 2019-09-12 |
| 1982259289 | Elisabeth Anne Boyko | Dental Hygienist | 12165 Elm St, Princess Anne, MD 21853-1358 | 2019-08-05 |
| 1285133637 | Kortney Lynn Davis | Dental Hygienist | 12165 Elm St, Princess Anne, MD 21853-1358 | 2018-02-12 |
| 1548769649 | Cynthia Ann Heselbach | Dental Hygienist | 12165 Elm St, Princess Anne, MD 21853-1358 | 2018-02-05 |
| 1952829822 | Donna Lynn Baer | Dental Hygienist | 12165 Elm St, Princess Anne, MD 21853-1358 | 2017-08-31 |
| 1215389291 | Crystal B Howatt | Dental Hygienist | 12165 Elm St, Princess Anne, MD 21853-1358 | 2016-07-01 |
| 1710394630 | Michelle Ann Connor | Dental Hygienist | 12165 Elm St, Princess Anne, MD 21853-1358 | 2014-07-14 |
| 1487959151 | Kelly Lynn Haday | Dental Hygienist | 12165 Elm St, Princess Anne, MD 21853-1358 | 2011-01-11 |
| 1427352129 | Alissa Katherine Crump | Dental Hygienist | 12165 Elm St, Princess Anne, MD 21853-1358 | 2011-01-10 |
| 1750690095 | Amanda Lyn Machuzak | Dental Hygienist | 12165 Elm St, Princess Anne, MD 21853-1358 | 2010-10-05 |
| Find all providers in PRINCESS ANNE | ||||
| City | PRINCESS ANNE |
| Zip Code | 21853 |
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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.