GWENDOLYN PETERSON (NPI# 1114149945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114149945 |
| Entity Type | Individual |
| Full Name | GWENDOLYN PETERSON |
| Practice Address |
1900 Long Prairie Rd Ste 132 Flower Mound TX 75022-4217 |
| Practice Telephone | 9728747870 |
| Mailing Telephone | 9728747870 |
| Enumeration Date | 2007-05-02 |
| 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 | 12214 | TX | Dental Providers |
| Street Address |
1900 LONG PRAIRIE RD STE 132 |
| City | FLOWER MOUND |
| State | TX |
| Zip Code | 75022-4217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215955562 | Steven Thomas Robillard | Chiropractor | 1900 Long Prairie Rd, Suite 130, Flower Mound, TX 75022-4294 | 2006-07-17 |
| 1679009898 | Towne View Dental Care | Dentist | 1900 Long Prairie Rd, Suite 132, Flower Mound, TX 75022-4217 | 2017-05-08 |
| 1336386499 | Lisa Jayne Woodcock | Physical Therapist | 1900 Long Prairie Rd, Suite 146, Flower Mound, TX 75022-4217 | 2009-01-12 |
| 1205030939 | Kevin Davis | Dentist | 1900 Long Prairie Rd, Ste 132, Flower Mound, TX 75022-4217 | 2007-06-14 |
| 1710199534 | Amy Young | Dental Hygienist | 1900 Long Prairie Rd, Ste 132, Flower Mound, TX 75022-4217 | 2007-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396356622 | Ann Ball | Nurse Practitioner | 2405 Bayshore Drive, Flower Mound, TX 75022 | 2020-08-11 |
| 1679183172 | Stacie Teresa Mccally | Nurse Practitioner | 4055 Valley View Lane, Dallas, TX 75022 | 2020-08-09 |
| 1194344812 | Today Dental of Flower Mound Pllc | Dentist | 2840 Flower Mound Rd, Suite 120, Flower Mound, TX 75022 | 2020-04-13 |
| 1801398375 | Lumincare Physician Group, Pa | Family Medicine | 2628 Long Prairie Road Suite 107, Flower Mound, TX 75022 | 2018-03-01 |
| 1861948572 | Icarepros, LLC | Home Health | 4508 Cassandra Drive, Flower Mound, TX 75022 | 2016-09-01 |
| 1912378837 | Tmj & Sleep Therapy Centre of North Texas, LLC | Dentist | 1005 Long Prairie Road, Suite 100, Flower Mound, TX 75022 | 2015-10-19 |
| 1689056863 | Twila Michelle Farrar | Counselor | 1033 Long Prairie Road, Suite 4, Flower Mound, TX 75022 | 2015-06-24 |
| 1992186597 | Kelly Fuller Lewis | Pediatrics | 3041 Churchill Dr Ste 300, Flower Mound, TX 75022 | 2015-06-09 |
| 1679989313 | Uap Keller Endo, LLC | Nurse Anesthetist, Certified Registered | 1001 Surrey Lane, Flower Mound, TX 75022 | 2014-07-02 |
| 1013269273 | Randalls Food & Drugs Lp | Durable Medical Equipment & Medical Supplies | 4301 Cross Timbers Rd., Flowermound, TX 75022 | 2012-10-11 |
| Find all providers in zip 75022 | ||||
| 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 |
|---|---|---|---|---|
| 1154550374 | Daphanie Marie Becker | Dental Hygienist | 6050 Long Prairie Rd, Flower Mound, TX 75028-2597 | 2009-07-09 |
| 1295974376 | Kelly Allyson English | Dental Hygienist | 6050 Long Prairie Rd, Suite 100, Flower Mound, TX 75028-2294 | 2009-02-12 |
| 1710199534 | Amy Young | Dental Hygienist | 1900 Long Prairie Rd, Ste 132, Flower Mound, TX 75022-4217 | 2007-05-04 |
| 1427189455 | Jacqueline Ann Koon | Dental Hygienist | 6050 Long Prairie Rd, Suite 100, Flower Mound, TX 75028-2294 | 2007-03-09 |
| 1780715920 | Rebel Lee Chapa | Dental Hygienist | 6050 Long Prairie Rd, Flower Mound, TX 75028-2294 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626429 | Gilberto Rolando Nunez | Dental Hygienist | Dentac Fort Hood, 68th Street Bldg. 4431, Fort Hood, TX 76544 | 2020-10-09 |
| 1174120927 | Michelle Miller | Dental Hygienist | 3725 N Lighthouse Hill Ln, Fort Worth, TX 76179-3827 | 2020-10-05 |
| 1588280341 | Melissa Hohman | Dental Hygienist | 361 Acacia Dr S, Uvalde, TX 78801-1164 | 2020-06-17 |
| 1689296154 | Christine Whitaker Fordtran | Dental Hygienist | 2205 Williams Trace Blvd Ste 108, Sugar Land, TX 77478-4443 | 2020-05-07 |
| 1023639010 | Ronni Renee Gallina | Dental Hygienist | 1501 E Loop 304 Ste 100, Crockett, TX 75835-3417 | 2020-04-30 |
| 1568081792 | Miguel A Martinez | Dental Hygienist | 3308 Greenock St, El Paso, TX 79925-4100 | 2020-04-08 |
| 1629601406 | Jahfiqerah Jarrett | Dental Hygienist | 1000 E 5th St Unit 110, Austin, TX 78702-3827 | 2020-02-19 |
| 1831722057 | Dawn Anna Sackett | Dental Hygienist | 1640 N Zaragoza Rd # 2-213, El Paso, TX 79936-8004 | 2020-02-17 |
| 1942833140 | Anita Parra Pesina | Dental Hygienist | 10011 Shady Mdws, San Antonio, TX 78245-3806 | 2020-02-16 |
| 1003448903 | Erin Rachel Ginithan | Dental Hygienist | 1816 N Zaragoza Rd Ste B, El Paso, TX 79936-8019 | 2020-02-08 |
| Find all providers with the same taxonomy | ||||
| City | FLOWER MOUND |
| Zip Code | 75022 |
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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.