MASS CHILDREN HEALTHY SMILES (NPI# 1083916365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083916365 |
| Entity Type | Organization |
| Organization Name | MASS CHILDREN HEALTHY SMILES |
| Practice Address |
19 Green Leaf Rd Bridgewater MA 02324-2154 |
| Practice Telephone | 5089790373 |
| Mailing Telephone | 5089790373 |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2010-11-18 |
| Authorized Official Name | MRS. KATHLEEN M LUISI (PUBLIC HEALTH DENTAL HYGIENIST) |
| Authorized Official Telephone | 6179133321 |
| Authorized Official Credential | R.D.H. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 124Q00000X | Dental Hygienist | DH10126 | MA | Dental Providers |
| Y | 124Q00000X | Dental Hygienist | DH11340 | MA | Dental Providers |
| Street Address |
19 GREEN LEAF RD |
| City | BRIDGEWATER |
| State | MA |
| Zip Code | 02324-2154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306150701 | Jacklyn Ventura | Dental Hygienist | 19 Green Leaf Rd, Bridgewater, MA 02324-2154 | 2010-07-28 |
| 1942544325 | Lisa M Azar | Dental Hygienist | 19 Green Leaf Rd, Bridgewater, MA 02324-2154 | 2012-11-25 |
| 1215290606 | Mass Healthy Smiles, LLC | Dental Hygienist | 19 Green Leaf Rd, Bridgewater, MA 02324-2154 | 2012-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962985176 | Heidi S Bonito | Counselor | 33 Indian Ridge, Bridgewater, MA 02324 | 2018-09-13 |
| 1518476779 | Takaaki Kodani | Student in an Organized Health Care Education/Training Program | 131 Summer Street, Bridgewater, MA 02324 | 2017-09-20 |
| 1750832861 | Isandra Andrade | Behavior Technician | 30 Easy Street, Bridgewater, MA 02324 | 2016-10-24 |
| 1639570435 | Joanne Mccarthy | Counselor | 792 Plymouth Street, Bridgewater, MA 02324 | 2014-09-11 |
| 1932530011 | Michelle Courcy | Registered Nurse | 796 Pleasant Street, Bridgewater, MA 02324 | 2013-11-27 |
| 1750664942 | Richard Arthur Cannizzo Jr. | Pharmacist | 4 Central Square, Walgreens Pharmacy, Bridgewater, MA 02324 | 2011-09-23 |
| 1164714481 | Cslee, Dmd,mmsc,pllc | Dentist | 555 Bedford St, Unit 3, Bridgewater, MA 02324 | 2011-05-04 |
| 1790097228 | Amy B Mills | Pharmacist | 233 Broad Street, Bridgewater, MA 02324 | 2010-07-13 |
| 1720304157 | Kathleen Marie Weygand | Behavioral Analyst | 215 Boxwood Lane, Bridgewater, MA 02324 | 2010-04-09 |
| 1548585078 | Jhilam Biswas | Psychiatry & Neurology | 20 Admin Rd, Bridgewater, MA 02324 | 2010-03-27 |
| Find all providers in zip 02324 | ||||
| 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 |
|---|---|---|---|---|
| 1801148903 | Maureen Patricia Mccann | Dental Hygienist | 309 N Pope St, Bridgewater, VA 22812-1424 | 2012-10-12 |
| 1306150701 | Jacklyn Ventura | Dental Hygienist | 19 Green Leaf Rd, Bridgewater, MA 02324-2154 | 2010-07-28 |
| 1841429131 | Amy Buckley Benson | Dental Hygienist | 509 Summer St, Bridgewater, MA 02324-2622 | 2009-07-07 |
| 1942544325 | Lisa M Azar | Dental Hygienist | 19 Green Leaf Rd, Bridgewater, MA 02324-2154 | 2012-11-25 |
| 1215290606 | Mass Healthy Smiles, LLC | Dental Hygienist | 19 Green Leaf Rd, Bridgewater, MA 02324-2154 | 2012-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194340620 | Sara Jambard | Dental Hygienist | 5 Halon Ter, East Longmeadow, MA 01028-3207 | 2020-06-10 |
| 1649810698 | Rinchen Youtso | Dental Hygienist | 4199 Washington St Ste 1, Roslindale, MA 02131-1733 | 2020-01-07 |
| 1124672779 | Polished Dntl LLC | Dental Hygienist | 76 Agnes Ln, Chatham, MA 02633-1502 | 2019-07-31 |
| 1801455720 | Neil David Moreau | Dental Hygienist | 230 Maple St Ste 4, Holyoke, MA 01040-5143 | 2019-06-13 |
| 1124592498 | Jamie Murphy | Dental Hygienist | 52 Lakecrest Path, Weymouth, MA 02189-1419 | 2019-01-18 |
| 1407332190 | Melissa Goulet | Dental Hygienist | 55 Federal St Ste 240, Greenfield, MA 01301-2573 | 2018-07-16 |
| 1407346349 | Kathryn Dolan | Dental Hygienist | 59 Wren St, Boston, MA 02132-2626 | 2018-05-16 |
| 1194221150 | Smiles Big and Small, Inc | Dental Hygienist | 28 Sandersdale Rd, Southbridge, MA 01550-2800 | 2018-03-30 |
| 1275044919 | Anna Ussi | Dental Hygienist | 15a Reed St, West Boylston, MA 01583-1139 | 2017-10-20 |
| 1346751799 | Judith Tanzella | Dental Hygienist | 7 Sohier Rd, Beverly, MA 01915-3415 | 2017-10-12 |
| Find all providers with the same taxonomy | ||||
| City | BRIDGEWATER |
| Zip Code | 02324 |
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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.