ROSA NODA-CLARK (NPI# 1174811160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174811160 |
| Entity Type | Individual |
| Full Name | ROSA NODA-CLARK |
| Other Name | ROSA NODA |
| Credential | RDH |
| Practice Address |
1 Chelsea Ln East Granby CT 06026 |
| Mailing Address |
1 Chelsea Ln East Granby CT 06026-9634 |
| Practice Telephone | 8603800830 |
| Mailing Telephone | 8603800830 |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2018-07-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 006043 | CT | Dental Providers |
| Street Address |
1 CHELSEA LN |
| City | EAST GRANBY |
| State | CT |
| Zip Code | 06026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013472414 | Smiles On The Go Rdh, LLC | Clinic/Center | 1 Chelsea Ln, East Granby, CT 06026-9634 | 2019-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346366945 | Petra Irmgard Mursch | Chiropractor | 56a Rainbow Road, East Granby, CT 06026 | 2007-03-22 |
| 1851456743 | Ellen Farmer Lanctot | Chiropractor | 19 South Main St, East Granby, CT 06026 | 2006-12-22 |
| 1891855573 | Kathleen J Armata | Counselor | 59-61 Rainbow Road, East Granby, CT 06026 | 2006-12-11 |
| 1417312943 | Coleen Sutherland | Behavioral Analyst | 15 School Street, East Granby, CT 06026 | 2015-12-29 |
| 1295038446 | Christine Noelle Levine | Behavioral Analyst | 15 School Street, East Granby, CT 06026 | 2010-12-09 |
| 1275630402 | Robert L Gordon | Dentist | 11 S Main St, East Granby, CT 06026 | 2006-09-20 |
| 1760469829 | David R Howlett | Family Medicine | 13 Church Rd, East Granby, CT 06026-0518 | 2005-12-29 |
| 1528045697 | Jeannie M Crabtree | Nurse Practitioner | 13 Church St, East Granby, CT 06026-0518 | 2005-12-29 |
| 1326105958 | Anne M Reiher | Family Medicine | 13 Church Rd, East Granby, CT 06026-0518 | 2007-01-02 |
| 1154308229 | East Granby Family Practice LLC | Nurse Practitioner | 13 Church Rd, East Granby, CT 06026-0518 | 2005-12-29 |
| Find all providers in zip 06026 | ||||
| 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 |
|---|---|---|---|---|
| 1346847514 | Lilly Prado | Dental Hygienist | 317 W Preston St, Hartford, CT 06114-2337 | 2020-10-01 |
| 1124657945 | Dorjan Kodra | Dental Hygienist | 78 Chesterfield Ave, Wolcott, CT 06716-3225 | 2020-04-03 |
| 1639728298 | Ashlyn Mucha | Dental Hygienist | 55 Sargent Drive, Bethany, CT 06524-3135 | 2019-09-06 |
| 1245885748 | Michelle Ann Daconto | Dental Hygienist | 16 Backes Ct, Wallingford, CT 06492-4712 | 2019-08-02 |
| 1194378323 | Brittany Varano | Dental Hygienist | 55 Sargent Dr., Bethany, CT 06524 | 2019-07-17 |
| 1922570910 | Jessica Nicoletti | Dental Hygienist | 10 Main St Unit 106, Berlin, CT 06037-2661 | 2019-01-02 |
| 1821569914 | Maria Bianca Pierce | Dental Hygienist | 238 Old Grassy Hill Rd, Orange, CT 06477-2426 | 2018-12-16 |
| 1679058135 | Patricia A Johnson | Dental Hygienist | 271 Scott Swamp Rd, Farmington, CT 06032-3324 | 2018-10-01 |
| 1760964704 | Sheethal Joseph Mathew | Dental Hygienist | 49 South Main Street, Torrington, CT 06790 | 2018-09-06 |
| 1689182842 | Myology Orofacial Therapy LLC | Dental Hygienist | 71 East Ave # Q1, Norwalk, CT 06851-4903 | 2018-01-22 |
| Find all providers with the same taxonomy | ||||
| City | EAST GRANBY |
| Zip Code | 06026 |
Please comment or provide details below to improve the information on ROSA NODA-CLARK.
| 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.