CRYSTAL MCCULLOUGH (NPI# 1053843185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053843185 |
| Entity Type | Individual |
| Full Name | CRYSTAL MCCULLOUGH |
| Credential | DENTAL HYGIENIST |
| Practice Address |
1800 Community Clinton MO 64735-8804 |
| Practice Telephone | 8884031071 |
| Mailing Telephone | 6608858131 |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2018-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 2016021116 | MO | Dental Providers |
| Street Address |
1800 COMMUNITY |
| City | CLINTON |
| State | MO |
| Zip Code | 64735-8804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639167687 | Michael David Shoemaker | Family Medicine | 1800 Community, Clinton, MO 64735 | 2005-10-12 |
| 1811598956 | Julie Mackey | Counselor | 1800 Community, Clinton, MO 64735-8804 | 2020-11-05 |
| 1396346839 | Shayla Michelle Pipes | Dental Hygienist | 1800 Community, Clinton, MO 64735-8804 | 2020-11-02 |
| 1164021564 | Sarah Arnold | Social Worker | 1800 Community, Clinton, MO 64735-8804 | 2020-10-19 |
| 1417555624 | Hailey Henke | Dental Hygienist | 1800 Community, Clinton, MO 64735-8804 | 2020-10-12 |
| 1255938734 | Keri Lee Huisman | Licensed Practical Nurse | 1800 Community, Clinton, MO 64735-8804 | 2020-10-07 |
| 1568097434 | Sarah Elizabeth Denny | Dental Hygienist | 1800 Community, Clinton, MO 64735-8804 | 2020-03-11 |
| 1144855768 | Cristy Akers | Licensed Practical Nurse | 1800 Community, Clinton, MO 64735-8804 | 2020-03-04 |
| 1134754773 | Samantha Owings | Licensed Vocational Nurse | 1800 Community, Clinton, MO 64735-8804 | 2020-03-04 |
| 1770144313 | Rayleine Chelsy Metcalf | Social Worker | 1800 Community, Clinton, MO 64735-8804 | 2019-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730543778 | Courtney Briggs | Speech-Language Pathologist | 502 S. 5th, Clinton, MO 64735 | 2016-04-06 |
| 1447669924 | James Taylor Thatcher II | Counselor | 1800 Community Drive, Clinton, MO 64735 | 2014-08-08 |
| 1205271897 | Rocksheng Zhong | Psychiatry & Neurology | 1800 Community Dr, Clinton, MO 64735 | 2013-05-08 |
| 1407196272 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1501 E Ohio St, Clinton, MO 64735 | 2013-02-15 |
| 1265614176 | Kristal Lynn Moran | Registered Nurse | 1600 N Second St, Clinton, MO 64735 | 2007-12-03 |
| 1174653406 | Gary Allen Groff | Dentist | 1100 E Ohio St, Clinton, MO 64735 | 2007-03-06 |
| 1306908512 | Andrea Jolynn Bruck | Dentist | 906 E Ohio, Clinton, MO 64735 | 2006-12-14 |
| 1992873889 | Golden Valley Memorial Hospital Home Services | Home Health | 1600 North Second Street, Clinton, MO 64735 | 2006-12-01 |
| 1033205521 | Bradley Mark Townsend | Family Medicine | 1413 South Second Street, Clinton, MO 64735 | 2006-10-04 |
| 1871688473 | Michael Jay Harrison | Chiropractor | 704 E. Ohio, Clinton, MO 64735 | 2006-10-03 |
| Find all providers in zip 64735 | ||||
| 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 |
|---|---|---|---|---|
| 1164984399 | Nan'cee Neer-labbe | Dental Hygienist | 14555 Hellgate Lane, Clinton, MT 59825 | 2019-04-05 |
| 1730650870 | Kellye Watkins Wilson | Dental Hygienist | 420 S. Charles Seivers Blvd, Clinton, TN 37716 | 2018-12-16 |
| 1396346839 | Shayla Michelle Pipes | Dental Hygienist | 1800 Community, Clinton, MO 64735-8804 | 2020-11-02 |
| 1417555624 | Hailey Henke | Dental Hygienist | 1800 Community, Clinton, MO 64735-8804 | 2020-10-12 |
| 1568097434 | Sarah Elizabeth Denny | Dental Hygienist | 1800 Community, Clinton, MO 64735-8804 | 2020-03-11 |
| 1386109015 | Sarah Goldie Wood | Dental Hygienist | 1800 Community, Clinton, MO 64735-8804 | 2019-02-06 |
| 1669936886 | Courtney Jo Ross | Dental Hygienist | 1800 Community, Clinton, MO 64735-8804 | 2019-01-23 |
| 1497102115 | Alyssa Rowe | Dental Hygienist | 10321 N 2274 Rd, Clinton, OK 73601-7521 | 2016-05-23 |
| 1972944452 | Julie Dawn Nabors | Dental Hygienist | 10321 N 2274 Rd, Clinton, OK 73601-7521 | 2013-07-11 |
| 1831535368 | Christian Nicole Campbell | Dental Hygienist | 2000 N Gaines Dr, Clinton, MO 64735-1132 | 2013-05-10 |
| Find all providers in CLINTON | ||||
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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.