MRS. MALLORY CONLEY HARCOURT (NPI# 1184923963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184923963 |
| Entity Type | Individual |
| Full Name | MRS. MALLORY CONLEY HARCOURT |
| Credential | R.D.H. |
| Practice Address |
25200 Carlos Bee Blvd Apt 562 Hayward CA 94542-1511 |
| Practice Telephone | 6092266836 |
| Mailing Telephone | 6092266836 |
| Enumeration Date | 2011-03-20 |
| Last Update Date | 2011-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 25635 | CA | Dental Providers |
| Street Address |
25200 CARLOS BEE BLVD APT 562 |
| City | HAYWARD |
| State | CA |
| Zip Code | 94542-1511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225453095 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 27971 Fairview Ave, Hayward, CA 94542 | 2014-03-03 |
| 1023312139 | Ashley Seo | Acupuncturist | 25538 Del Mar Avenue,apt 6, Hayward, CA 94542 | 2011-01-04 |
| 1528293438 | Michelle Renee Longo | Counselor | 25200 Carlos Bee Blvd Apt413, Hayward, CA 94542 | 2009-05-20 |
| 1356406649 | Rita Lafaye Davis Marten | Nurse Practitioner | 700 Adeline Street, West Oakland Health Council, Oakland, CA 94542 | 2006-12-27 |
| 1578575445 | Benjamin Wolsztejn | Obstetrics & Gynecology | 26929 Halifax Place, Hayward, CA 94542 | 2006-08-12 |
| 1366422776 | California State University East Bay | Clinic/Center | 25800 Carlos Bee Blvd, Hayward, CA 94542 | 2006-01-20 |
| 1871922450 | Edrose Perez Retodo | Nurse Practitioner | 24301 Southland Drive, Suite 213, Hayward, CA 94542 | 2013-11-05 |
| 1477703726 | Kristal Teamer | Counselor | 2495 Oakes Dr, Hayward, CA 94542 | 2008-09-23 |
| 1275194318 | Nicole Marie Griffiths | Behavior Technician | 24574 Leona Dr, Hayward, CA 94542-1010 | 2019-06-27 |
| 1386954642 | Nhi Xuan Huynh | Dentist | 3400 Sonoma Blvd., Vallejo, CA 94542-1050 | 2010-10-20 |
| Find all providers in zip 94542 | ||||
| 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 |
|---|---|---|---|---|
| 1932567476 | Carmen Thompson | Dental Hygienist | 27592 Miami Ave, Hayward, CA 94545-4716 | 2016-01-28 |
| 1235383985 | Sara Jane Drost | Dental Hygienist | 15910 W Company Lake Road, Hayward, WI 54843 | 2008-11-07 |
| 1417014580 | Zoya Kogan | Dental Hygienist | 26250 Industrial Blvd, Suite 24, Hayward, CA 94545-2922 | 2007-01-01 |
| 1811476245 | Katie Christensen | Dental Hygienist | 15954 Rivers Edge Dr, Hayward, WI 54843-7800 | 2018-08-07 |
| 1265926323 | Macey Bunkelman | Dental Hygienist | 15954 Rivers Edge Dr, Hayward, WI 54843-7800 | 2018-06-21 |
| 1629568779 | Julie Theisen | Dental Hygienist | 15954 Rivers Edge Dr, Hayward, WI 54843-7800 | 2018-05-15 |
| 1760972814 | Lisa Vang | Dental Hygienist | 15954 Rivers Edge Dr, Hayward, WI 54843-7800 | 2018-05-15 |
| 1801337985 | Carly Botten | Dental Hygienist | 15910 W Company Lake Rd, C/o Tricia Krym, Hayward, WI 54843-5320 | 2017-03-09 |
| 1710331590 | Roxie Lynn Quaderer | Dental Hygienist | 13380 W Trepania Rd, 13380 W Trepania Road, Hayward, WI 54843-2186 | 2016-04-19 |
| 1477945426 | Tamara Tucker | Dental Hygienist | 15910 W Company Lake Rd, Hayward, WI 54843-5320 | 2015-02-28 |
| Find all providers in HAYWARD | ||||
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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.