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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH5588 | MA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110000011J | 05 |
| 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 |
| Street Address |
200 HARRISON AVE FL 2 |
| City | BOSTON |
| State | MA |
| Zip Code | 02111-1836 |
| 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 |
| 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 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 |
|---|---|---|---|---|
| 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 | ||||
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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.