MRS. MARIE REBECCA JOANNE BERGEVIN (NPI# 1114061116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114061116 |
| Entity Type | Individual |
| Full Name | MRS. MARIE REBECCA JOANNE BERGEVIN |
| Credential | RDH |
| Practice Address |
200 Meehan Road Malone NY 12953 |
| Mailing Address |
200 Meehan Rd Malone NY 12953-4728 |
| Practice Telephone | 5184830198 |
| Mailing Telephone | 5184830198 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 124Q00000X | NY | Dental Providers |
| Street Address |
200 MEEHAN ROAD |
| City | MALONE |
| State | NY |
| Zip Code | 12953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386264356 | Ruth Ann Williamson | Nurse Practitioner | 31 Sixth St., Malone, NY 12953 | 2020-04-20 |
| 1780203760 | Heather Lynn Lauzon | Peer Specialist | 15 Fouth St, Malone, NY 12953 | 2020-04-10 |
| 1245717115 | Darlean James | Family Medicine | 183 Park St Ste 5678, Malone, NY 12953 | 2018-07-24 |
| 1164929212 | Cheryl Ann Grant | Registered Nurse | 15 Fourth Street, Malone, NY 12953 | 2018-04-06 |
| 1811408826 | Nancy Denis | Registered Nurse | 133 Park Street, Alice Hyde Medical Center, Malone, NY 12953 | 2017-10-17 |
| 1003325424 | Tara Lynn Ellis | Registered Nurse | 23 Husky Lane, Malone, NY 12953 | 2017-09-28 |
| 1578092185 | Shanna Lee Cayea | Peer Specialist | 31 6th Street, Malone, NY 12953 | 2017-06-07 |
| 1184007809 | Alice Hyde Medical Center | Home Health | 45 Sixth St, Malone, NY 12953 | 2015-06-30 |
| 1427303353 | Melissa J Benardot | Nurse Practitioner | 380 Cty Rt 57, Community Health Center, Malone, NY 12953 | 2012-07-17 |
| 1013272202 | Shafiu Oladele Ololade | Internal Medicine | 10 Third Street, Malone, NY 12953 | 2012-07-12 |
| Find all providers in zip 12953 | ||||
| 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 |
|---|---|---|---|---|
| 1376791095 | Jessica Lyn Perry | Dental Hygienist | 133 Park St, Malone, NY 12953-1243 | 2008-09-06 |
| 1285781807 | Judith Ann Johnson | Dental Hygienist | 134 Park St, Malone, NY 12953-1251 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767280 | Saray A Guzman-pernett | Dental Hygienist | 370 Lexington Ave Fl 26, New York, NY 10017-6573 | 2020-10-14 |
| 1508464389 | Teah Lee Griffith | Dental Hygienist | 1182 County Route 24, Gouverneur, NY 13642-3330 | 2020-10-13 |
| 1629675574 | Sheila M Marsh | Dental Hygienist | 37 Boynton Ave Ste 2, Plattsburgh, NY 12901-1268 | 2020-10-05 |
| 1558978478 | Natalia Itxel Plaza | Dental Hygienist | 223 22nd St Fl 1, Brooklyn, NY 11232-1303 | 2020-09-24 |
| 1386250108 | Maxine Mills | Dental Hygienist | 71 Maler Ln, Patchogue, NY 11772-3558 | 2020-09-17 |
| 1780295592 | Samantha Leggiadro | Dental Hygienist | 606 Hosta Cir, Webster, NY 14580-4066 | 2020-08-14 |
| 1609487438 | Taylor Emily Bonno | Dental Hygienist | 15324 Lovers Ln, Clayton, NY 13624-3110 | 2020-08-14 |
| 1407466071 | Ellen Norma Denise Gill | Dental Hygienist | 41277 County Route 15, Theresa, NY 13691-2028 | 2020-08-07 |
| 1619595709 | Marialys Fernandez | Dental Hygienist | 25 W 18th St Fl 4, New York, NY 10011-4676 | 2020-07-06 |
| 1285271775 | Elizabeth Marie Dooher-anthony | Dental Hygienist | 490 Falstaff Rd, Rochester, NY 14609-5551 | 2019-12-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. MARIE REBECCA JOANNE BERGEVIN.
| 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.