POLISHED DNTL LLC (NPI# 1124672779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124672779 |
Entity Type | Organization |
Organization Name | POLISHED DNTL LLC |
Practice Address |
76 Agnes Ln Chatham MA 02633-1502 |
Mailing Address |
Po Box 936 West Chatham MA 02669-0936 |
Practice Telephone | 5082375378 |
Mailing Telephone | 5082375378 |
Enumeration Date | 2019-07-31 |
Last Update Date | 2019-07-31 |
Authorized Official Name | ELLEN D GOULD (OWNER) |
Authorized Official Telephone | 5082375378 |
Authorized Official Credential | RDH |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | Dental Providers |
Street Address |
76 AGNES LN |
City | CHATHAM |
State | MA |
Zip Code | 02633-1502 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053780619 | Jessica Lynn D Acosta | Social Worker | 2 Lobster Ln., Apt C, Chatham, MA 02633 | 2015-09-24 |
1982873444 | Roxanne Cumming | Internal Medicine | 214a S Orleans Rd, Chatham, MA 02633 | 2008-02-28 |
1851436562 | Susan Frances Thibadeau | Psychologist | 100 Sea View Street, The May Center, Chatham, MA 02633 | 2007-02-20 |
1245373620 | Garland S Alcock | Psychiatry & Neurology | 17a The Marketplace, Chatham, MA 02633 | 2007-02-15 |
1275640724 | Robert Thomas Montbach | Dentist | 720 Main Street, Chatham, MA 02633 | 2006-08-23 |
1922335868 | Kristin Whitfield | Acupuncturist | 46 Crowell Road, Chatham, MA 02633 | 2009-11-13 |
1225138621 | Mitchell S. Tishler | Chiropractor | 60 Munson Meeting Way, Chatham, MA 02633 | 2006-09-25 |
1841324720 | David Renke | Physician Assistant | 57 Diane Dr, Chatham, MA 02633-1007 | 2007-03-15 |
1891030821 | Mariela Emma Horsfall | Counselor | 91 Chatham Crest Dr, Chatham, MA 02633-1054 | 2012-12-03 |
1558445452 | Andrew A Mcclennen | Chiropractor | 46 Crowell Road, Chatham, MA 02633-1184 | 2006-10-25 |
Find all providers in zip 02633 |
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 |
---|---|---|---|---|
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 |
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 |
1477071090 | Hannah Margaret Pachalis | Dental Hygienist | 55 Federal St Ste240, Greenfield, MA 01301 | 2017-09-04 |
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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.