JENNIFER BURDITT (NPI# 1184888992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184888992 |
| Entity Type | Individual |
| Full Name | JENNIFER BURDITT |
| Credential | RDH |
| Practice Address |
3306 S Pacific Hwy 36 Medford OR 97501-8754 |
| Mailing Address |
3306 S Pacific Hwy Apt 36 Medford OR 97501-8712 |
| Practice Telephone | 5037580689 |
| Mailing Telephone | 5037580689 |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2016-02-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | H5349 | OR | Dental Providers |
| Street Address |
3306 S PACIFIC HWY 36 |
| City | MEDFORD |
| State | OR |
| Zip Code | 97501-8754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366069494 | Brian Snapp | Counselor | 1191 Hazel St, Medford, OR 97501 | 2020-07-06 |
| 1477174761 | Corey Renfree | Counselor | 1191 Hazel Street, Medford, OR 97501 | 2020-04-28 |
| 1669012928 | One of A Kind Therapy LLC | Social Worker | 916 West 10th St #205, Medford, OR 97501 | 2020-01-14 |
| 1265993620 | Star Dialysis LLC | Clinic/Center | 50 Rossanley Dr, Medford, OR 97501 | 2019-03-28 |
| 1962972463 | Karen Elise Roertgen | Counselor | 328 So. Central Ave., Suite 204, Medford, OR 97501 | 2018-11-28 |
| 1316458813 | Rick's Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 562 Parsons Drive, Suite 114, Medford, OR 97501 | 2017-10-24 |
| 1750807111 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 821 N Riverside Ave, Medford, OR 97501 | 2017-08-17 |
| 1992229009 | Cassandra Schultz | Massage Therapist | 824 East Jackson, Suite A, Medford, OR 97501 | 2017-07-31 |
| 1972962355 | Robin Clevenger | Peer Specialist | 301 S Ivy St, Medford, OR 97501 | 2016-02-15 |
| 1154706984 | Debbie Diane Orr | Behavioral Analyst | 1024 West 9th Street, Medford, OR 97501 | 2015-07-22 |
| Find all providers in zip 97501 | ||||
| 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 |
|---|---|---|---|---|
| 1487188512 | Darcie Raina Russo | Dental Hygienist | 3429 Creek View Dr, Medford, OR 97504-9624 | 2017-04-15 |
| 1215474671 | Heidi Marie Nernberger | Dental Hygienist | 124 S. Main Street, Medford, WI 54451 | 2017-01-24 |
| 1629423884 | Shelly W Hunter | Dental Hygienist | 2679 Eastover Ter, Medford, OR 97504-6930 | 2016-04-25 |
| 1275930323 | Alexis Fay Anderson | Dental Hygienist | 124 Main St., Medford, WI 54445 | 2014-12-04 |
| 1497152656 | Rachel E Nichols | Dental Hygienist | 124 South Main St, Medford, WI 54451 | 2014-12-03 |
| 1194080481 | Compassion Care LLC | Dental Hygienist | 3730 Fieldbrook Ave, Medford, OR 97504 | 2012-07-12 |
| 1215208954 | Sasha E Laprelle | Dental Hygienist | 495 S Stoneham Cir, Medford, OR 97504-6353 | 2012-01-25 |
| 1942501416 | Shalini Lahoty | Dental Hygienist | 30 Amaranth Pl, Medford, MA 02155-4101 | 2010-11-15 |
| 1093969107 | Renae Dawn Blome | Dental Hygienist | 4366 270th St E, Medford, MN 55049-8001 | 2008-11-17 |
| 1710041330 | Melanie Roseann Breidenthal | Dental Hygienist | 4505 Pinnacle Dr, Medford, OR 97504-9462 | 2006-12-20 |
| Find all providers in MEDFORD | ||||
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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.