MRS. MELISSA ANN YEAGER (NPI# 1154870228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154870228 |
| Entity Type | Individual |
| Full Name | MRS. MELISSA ANN YEAGER |
| Practice Address |
1931 Main St Green Bay WI 54302-3920 |
| Mailing Address |
2050 E Algonquin Rd Schaumburg IL 60173-4144 |
| Practice Telephone | 8889884066 |
| Mailing Telephone | 8479153044 |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2016-09-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 1002827 | WI | Dental Providers |
| Street Address |
1931 MAIN ST |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54302-3920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629448170 | Simerjeet Kaur | Dentist | 1931 Main St, Green Bay, WI 54302-3920 | 2015-09-28 |
| 1841800547 | Jungik Hong | Dentist | 1931 Main St, Green Bay, WI 54302-3920 | 2020-08-06 |
| 1740812197 | Joon Hyuk Kim | Dentist | 1931 Main St, Green Bay, WI 54302-3920 | 2020-02-04 |
| 1902458680 | Rebecca El-khoury | Dentist | 1931 Main St, Green Bay, WI 54302-3920 | 2019-07-12 |
| 1922669779 | Nidhi Nangia | Dentist | 1931 Main St, Green Bay, WI 54302-3920 | 2019-06-24 |
| 1568020238 | Ashley Jan | Dentist | 1931 Main St, Green Bay, WI 54302-3920 | 2019-05-29 |
| 1437608502 | Amy Jean Schowalter | Dental Hygienist | 1931 Main St, Green Bay, WI 54302-3920 | 2016-09-29 |
| 1700334265 | Mihai Kiss | Dentist | 1931 Main St, Green Bay, WI 54302-3920 | 2016-09-13 |
| 1093260366 | Mujtaba Khan | Dentist | 1931 Main St, Green Bay, WI 54302-3920 | 2016-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659721371 | Carissa Marie Sawicki | Counselor | 1234 Main Street, Suite 21, 3rd Floor, Green Bay, WI 54302 | 2016-06-14 |
| 1891181459 | Shannon Rae Mullins | Registered Nurse | 2254 Imperial Ln, Green Bay, WI 54302 | 2015-04-10 |
| 1346667045 | David Howard Jadin | Dentist | 1245 Main St, Green Bay, WI 54302 | 2014-03-20 |
| 1407003577 | Abby Baumgart | Counselor | 1234-21 Main St, Green Bay, WI 54302 | 2008-08-20 |
| 1447441779 | Muller Eyecare Associates Ltd | Optometrist | 1776 E Mason St, Green Bay, WI 54302 | 2007-08-01 |
| 1851385231 | Bornemann Nursing Home Inc | Skilled Nursing Facility | 226 Bornemann St, Green Bay, WI 54302 | 2005-08-31 |
| 1194188706 | Familia Dental Green Bay LLC | Dentist | 1931 Main St., Green Bay, WI 54302 | 2016-03-31 |
| 1255710125 | Kim Lawrence | Social Worker | 1234 Main St., St 21, 3rd Floor, Green Bay, WI 54302 | 2015-05-26 |
| 1255464533 | John Muller | Optometrist | 1776 E Mason St, Green Bay, WI 54302 | 2007-03-14 |
| 1851622005 | Michael Andrew Larkey | Social Worker | 815 Reber St, Green Bay, WI 54302-1116 | 2010-01-27 |
| Find all providers in zip 54302 | ||||
| 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 |
|---|---|---|---|---|
| 1639786551 | Maggie Hall | Dental Hygienist | 2633 Development Dr. Ste 40, Green Bay, WI 54311 | 2020-09-24 |
| 1649727108 | Amanda Marie Mckeefry | Dental Hygienist | 2304 Lineville Rd, Suite 101, Green Bay, WI 54313 | 2016-09-01 |
| 1790810471 | Gwen Marie Beno | Dental Hygienist | 1711 Shawano, Green Bay, WI 54303 | 2007-02-22 |
| 1386779072 | Melissa Mary Johnson | Dental Hygienist | 1711 Shawno Ave, Green Bay, WI 54303 | 2007-02-22 |
| 1598890279 | Cynthia Linda Skaleski | Dental Hygienist | 1711 Shawano Avenue, Dental Arts Associates of Green Bay Ltd, Green Bay, WI 54303 | 2007-02-22 |
| 1760042048 | Jennifer Schroeder | Dental Hygienist | 424 S Monroe Ave, Green Bay, WI 54301-4054 | 2019-06-18 |
| 1467934851 | Alicia Nicole Gendron | Dental Hygienist | 2280 W Mason St, Green Bay, WI 54303-4707 | 2018-08-31 |
| 1104349703 | Jenifer Jo Zobro | Dental Hygienist | 2280 W Mason St, Green Bay, WI 54303-4707 | 2017-07-25 |
| 1437608502 | Amy Jean Schowalter | Dental Hygienist | 1931 Main St, Green Bay, WI 54302-3920 | 2016-09-29 |
| 1093128365 | Paula Hart | Dental Hygienist | 2470 W Mason St, Green Bay, WI 54303-4711 | 2014-06-04 |
| Find all providers in GREEN BAY | ||||
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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.