THERESA CONENA BRENNAN


Address: 200 Harrison Ave Fl 2, Boston, MA 02111-1836
Phone: 6172912217

THERESA CONENA BRENNAN (NPI# 1063902906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063902906
Entity Type Individual
Full Name THERESA CONENA BRENNAN
Credential RDH BS
Practice Address 200 Harrison Ave Fl 2
Boston
MA 02111-1836
Mailing Address 122 Williams St
Wrentham
MA 02093-1828
Practice Telephone 6172912217
Enumeration Date 2018-05-16
Last Update Date 2018-05-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist DH5588 MA Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
MA 110000011J 05

Other Providers THERESA BRENNAN

NPI Name Taxonomy Address Enumeration
1962747790 Theresa Lynn Brennan Social Worker 2200 Fort Roots Drive, North Little Rock, AR 72114 2012-12-05
1063400620 Theresa Marie Brennan Internal Medicine 200 Hawkins Dr, Iowa City, IA 52242-1009 2005-10-07

Office Location

Street Address 200 HARRISON AVE FL 2
City BOSTON
State MA
Zip Code 02111-1836

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811490790 Trustees of Tufts College Clinic/Center 200 Harrison Ave Fl 2, Boston, MA 02111 2018-03-16
1417440322 Elaine Conroy Dental Hygienist 200 Harrison Ave Fl 2, Boston, MA 02111-1836 2018-06-14
1245723154 Maureen Favorito Dental Hygienist 200 Harrison Ave Fl 2, Boston, MA 02111-1836 2018-06-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689271397 Maximilian Richert Counselor 25 Kingston St, 4r, Boston, MA 02111 2020-10-06
1558978957 Tien-hsin Chang Student in an Organized Health Care Education/Training Program 1 Kneeland Street (tufts University School of Dental Me, Boston, MA 02111 2020-09-29
1548883465 Elizabeth Carter Stapleton Dentist Tufts School of Dental Medicine: Dept of Orthodontics, 1 Kneeland Street, Boston, MA 02111 2020-05-27
1932729597 Jacob Joseph Kosarchuk Neurological Surgery 800 Washington Street, Proger 7, Boston, MA 02111 2020-04-23
1164051868 Daniele Abela Surgery 860 Washington Street, South Building, 4th Floor, Boston, MA 02111 2020-04-04
1184265258 Jade Orthodontics Dentist 30 Kneeland St, Suite 301, Boston, MA 02111 2019-09-30
1932753639 Loukia Kamille Danaf Student in an Organized Health Care Education/Training Program 1 Kneeland Street, Tufts University School of Dental Me, Boston, MA 02111 2019-07-31
1033771944 Faris Khalifa Student in an Organized Health Care Education/Training Program 1 Kneeland Street, 5th Floor, Boston, MA 02111 2019-07-01
1609437276 Blair Hanna Ray Farbstein Student in an Organized Health Care Education/Training Program 1 Kneeland Street, 3rd Floor, Boston, MA 02111 2019-06-25
1821658709 Jennifer Drummond Internal Medicine 800 Washington St. Gme Office, Boston, MA 02111 2019-06-13
Find all providers in zip 02111

Taxonomy Information

Taxonomy Code 124Q00000X
Grouping Dental Providers
Classification Dental Hygienist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407346349 Kathryn Dolan Dental Hygienist 59 Wren St, Boston, MA 02132-2626 2018-05-16
1114465267 Erin Walsh Dental Hygienist 21 Drydock Ave, Boston, MA 02210-2384 2017-02-09
1548675234 Francisca Tan Dental Hygienist 1 Yarmouth Pl Apt 3, Boston, MA 02116-5870 2014-06-22
1386933422 Chester Chen Dental Hygienist 180 Lincoln St Ste 2a, Boston, MA 02111-2400 2011-03-29
1487956835 Melissa Jean Leite Dental Hygienist 250 Washington Street, Boston, MA 02108 2010-11-17
1457502510 Paula Morrison Dental Hygienist 250 Washington St Fl 5, Boston, MA 02108-4603 2008-10-08
1235297169 Catherine Marie Dooling Dental Hygienist North End Community Health Center, 332 Hanover Street, Boston, MA 02109 2006-12-04
1356942296 Maria Diluigi Dental Hygienist 1 Kneeland St, Boston, MA 02111-1527 2020-11-06
1417440322 Elaine Conroy Dental Hygienist 200 Harrison Ave Fl 2, Boston, MA 02111-1836 2018-06-14
1245723154 Maureen Favorito Dental Hygienist 200 Harrison Ave Fl 2, Boston, MA 02111-1836 2018-06-14
Find all providers in BOSTON

Competitor

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City BOSTON
Zip Code 02111

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Dataset Information

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.

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