POLISHED DNTL LLC


Address: 76 Agnes Ln, Chatham, MA 02633-1502
Phone: 5082375378

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist Dental Providers

Office Location

Street Address 76 AGNES LN
City CHATHAM
State MA
Zip Code 02633-1502

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 124Q00000X
Grouping Dental Providers
Classification Dental Hygienist

Taxonomy Definition

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.

Providers in the same taxonomy and state

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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Competitor

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City CHATHAM
Zip Code 02633

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Dataset Information

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.

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