CHARLEE GANN (NPI# 1164896932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164896932 |
| Entity Type | Individual |
| Full Name | CHARLEE GANN |
| Credential | RDH |
| Practice Address |
1604 C North Main Street Mountain Grove MO 65711 |
| Mailing Address |
Po Box 1359 Ava MO 65608-1359 |
| Practice Telephone | 4179261713 |
| Mailing Telephone | 4176834831 |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2015-11-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 2015018842 | MO | Dental Providers |
| Street Address |
1604 C NORTH MAIN STREET |
| City | MOUNTAIN GROVE |
| State | MO |
| Zip Code | 65711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851501423 | Lauren Jean Bales | Dentist | 1604 C North Main Street, Mountain Grove, MO 65711-0000 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912476300 | Spurling and White LLC | Nurse Practitioner | 100 W. 17th Street, Ste D, Mountain Grove, MO 65711 | 2018-11-15 |
| 1699255299 | Regional Services | Nurse Practitioner | 320 E 9th St, Mountain Grove, MO 65711 | 2018-08-14 |
| 1518342153 | Douglas County Public Health Services Group, Inc. | Clinic/Center | 1604 C. North Main Street, Mountain Grove, MO 65711 | 2015-07-24 |
| 1265754501 | Texas County Memorial Hospital | Clinic/Center | 1905 West 19th Street, Mountain Grove, MO 65711 | 2010-02-26 |
| 1376679423 | Ozarks Medical Center | Clinic/Center | 500 East 19th Street, Suite A, Mountain Grove, MO 65711 | 2007-02-25 |
| 1508917949 | Connie Armstrong | Nurse Practitioner | 1604 N. Main, Mountain Grove, MO 65711 | 2007-01-14 |
| 1659474930 | Cheryl J Bell | Nurse Practitioner | 1602-a N. Main, Mtn. Grove, MO 65711 | 2006-09-05 |
| 1114035870 | Tommy Dean Todd | Dentist | 901 North Main, Mountain Grove, MO 65711 | 2006-08-25 |
| 1376505230 | Community Hospices of America, LLC | Hospice Care, Community Based | 1602c N Main St, Mountain Grove, MO 65711 | 2006-04-05 |
| 1972573699 | Mountain Grove Medical and Laser Center Inc | General Practice | 601 N Busch Ave, Mountain Grove, MO 65711 | 2006-01-25 |
| Find all providers in zip 65711 | ||||
| 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 |
|---|---|---|---|---|
| 1194323238 | Marcia Poe | Dental Hygienist | 20815 S Dean Rd, Belton, MO 64012-9132 | 2020-10-12 |
| 1629682943 | Seong Jin Park | Dental Hygienist | 6958 Nebraska Ave Bldg 1608, Fort Leonard Wood, MO 65473-1618 | 2020-09-03 |
| 1447868542 | Emily Sue Leslie | Dental Hygienist | 315 W Mulberry Ste B, Pilot Knob, MO 63663-7860 | 2020-07-15 |
| 1982198453 | Traci Anne Shambo | Dental Hygienist | Bldg. 400 Virginia Ave, Fort Leonard Wood, MO 65473 | 2018-06-19 |
| 1396237863 | Maegen Mone Taylor | Dental Hygienist | 547 S Business Highway 13, Lexington, MO 64067 | 2018-05-31 |
| 1740798750 | Julie R Phillips | Dental Hygienist | 10007 Nw Lema Dr Apt C, Parkville, MO 64152-3933 | 2018-01-12 |
| 1639618325 | Tabitha Vollmer | Dental Hygienist | 1701 W. Sunshine Street, Suite Q, Springfield, MO 65807-2261 | 2017-02-15 |
| 1588113773 | Heather Annette Henke | Dental Hygienist | #5 Health Department Drive, Troy, MO 63379-4451 | 2016-09-28 |
| 1720532104 | Angela Faurot | Dental Hygienist | 4001 Pine View Dr, Columbia, MO 65202-4209 | 2016-08-15 |
| 1497105688 | Lisa Diane Moss | Dental Hygienist | 5047 Virginia Ave, Bldg 500, Fort Leonard Wood, MO 65473-9126 | 2016-06-17 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTAIN GROVE |
| Zip Code | 65711 |
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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.