MISS AMY B FANTONI (NPI# 1184860850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184860850 |
| Entity Type | Individual |
| Full Name | MISS AMY B FANTONI |
| Credential | RDH |
| Practice Address |
670 W Boylston St Worcester MA 01606-2064 |
| Practice Telephone | 5088547548 |
| Mailing Telephone | 5088547548 |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2008-12-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 8559 | MA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | MEDICAID GROUP # | 1301071 | 01 |
| Street Address |
670 W BOYLSTON ST |
| City | WORCESTER |
| State | MA |
| Zip Code | 01606-2064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245439397 | Quinsigamond Community College | Clinic/Center | 670 W Boylston St, Worcester, MA 01606-2064 | 2007-07-17 |
| 1962860916 | Quinsigamond Community College | Voluntary or Charitable | 670 W Boylston St, Worcester, MA 01606-2064 | 2016-02-05 |
| 1649416314 | Patricia Ann Decaire | Dentist | 670 W Boylston St, Worcester, MA 01606-2064 | 2008-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548742612 | Aishea Irine Henry | Counselor | 29 E. Mountian St., Worccester, MA 01606 | 2018-09-05 |
| 1932689874 | Donna Kesler Pearce | Social Worker | Department of Children and Families, 151 West Boylston Drive, Worcester, MA 01606 | 2018-08-20 |
| 1689169914 | Ashley Kalel | Social Worker | 151 W Boylston Dr, Worcester, MA 01606 | 2018-06-28 |
| 1588189039 | Michael Joseph Peters Sr. | Counselor | 56 Malden St, Worcester, MA 01606 | 2017-08-06 |
| 1811418528 | Shan Rai | Social Worker | 29 East Mountain Street, Worcester, MA 01606 | 2017-07-03 |
| 1639608045 | Kim Marie Ceccarini | Case Manager/Care Coordinator | 11 Delaval Rd, Worcester, MA 01606 | 2017-06-08 |
| 1669806139 | Lauren Giuliano | Counselor | 392 Burncoat St, Worcester, MA 01606 | 2013-09-02 |
| 1508132911 | Joshua D Zierler-broudo | Social Worker | 29 East Mountain St, Worcester, MA 01606 | 2012-03-29 |
| 1609096098 | Alternatives Unlimited Inc | Day Training, Developmentally Disabled Services | 367 Burncoat Street, Worcester, MA 01606 | 2007-04-26 |
| 1407908213 | Class One Orthodontic Asso LLC | Dentist | 365 Burncoat St, Worcester, MA 01606 | 2007-01-18 |
| Find all providers in zip 01606 | ||||
| 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 |
|---|---|---|---|---|
| 1477694123 | Michael Clark | Dental Hygienist | 11 Norwich St, Suite # 3, Worcester, MA 01608-2421 | 2007-02-08 |
| 1346704889 | Jamie Ellen Russell | Dental Hygienist | 26 Queen St Ste 13, Worcester, MA 01610-2478 | 2019-01-29 |
| 1790265601 | Heidi E Ebers | Dental Hygienist | 19 Tacoma St, Worcester, MA 01605-3516 | 2018-08-20 |
| 1174869036 | Deborah Marie Johnstone | Dental Hygienist | 26 Queen St, Worcester, MA 01610-2473 | 2012-12-21 |
| 1306182241 | Stephenie Pokorney | Dental Hygienist | 26 Queen St, Worcester, MA 01610-2473 | 2012-12-21 |
| 1437495363 | Mai Le | Dental Hygienist | 26 Queen St, Worcester, MA 01610-2473 | 2012-12-20 |
| 1396081469 | Caroline Banks Luzi | Dental Hygienist | 26 Queen St, Worcester, MA 01610-2473 | 2012-12-18 |
| 1306144654 | Waldina Lizette Yarzebski | Dental Hygienist | 19 Tacoma St, Worcester, MA 01605-3516 | 2011-03-10 |
| 1477702363 | Meaghan M Coull | Dental Hygienist | 19 Tacoma St, Worcester, MA 01605-3516 | 2008-09-16 |
| 1982877122 | Rachel Mungovan | Dental Hygienist | 19 Tacoma St, Worcester, MA 01605-3516 | 2008-04-09 |
| Find all providers in WORCESTER | ||||
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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.