MRS. SHANTRYCE MONIQUE BOATWRIGHT CRUMP


Address: 2617 Rielly Road, Fort Bragg, NC 28310
Phone: 9106432219

MRS. SHANTRYCE MONIQUE BOATWRIGHT CRUMP (NPI# 1215483094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215483094
Entity Type Individual
Full Name MRS. SHANTRYCE MONIQUE BOATWRIGHT CRUMP
Other Name MS. SHANTRYCE MONIQUE BOATWRIGHT
Credential RDH
Practice Address 2617 Rielly Road
Fort Bragg
NC 28310
Practice Telephone 9106432219
Mailing Telephone 9106432219
Enumeration Date 2016-08-31
Last Update Date 2016-08-31
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist 8117 NC Dental Providers

Office Location

Street Address 2617 RIELLY ROAD
City FORT BRAGG
State NC
Zip Code 28310

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013550763 Brent Francis Bachman Physician Assistant 2817 Reilly Street, Fort Bragg, NC 28310 2019-10-25
1417503459 Cooper Pasque Dentist 1838 Normandy Dr., Fort Bragg, Apo, AA 28310 2019-08-15
1851959951 Daniel Jordan Whitaker Student in an Organized Health Care Education/Training Program Womack Army Medical Center, 2817 Reilly Road, Mcxc-cod Credentials, Fort Bragg, NC 28310 2019-06-03
1679054217 Christopher Cetnar Dentist Smokebomb Hill, Bldg 3718 Gruber Road, Fort Bragg, NC 28310 2018-08-22
1316427107 Alexandrea Lee Clark Dentist Laflamme Dental Clinic, Bldg C6238 Ardennes Road, Fort Bragg, NC 28310 2018-08-21
1457843831 Kevin Patrick Hudson Student in an Organized Health Care Education/Training Program 2817 Reilly Road Mxcx - Cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 2018-06-01
1639691462 Margaret S Greene Dentist Usa Dental Health Activity Fort Bragg, Wamc Box #151 2817 Rielly Rd, Fort Bragg, NC 28310 2017-07-13
1912432246 Chezdan Baker Student in an Organized Health Care Education/Training Program Us Army Dental Health Activity Bldg-6837 Normandy Drive, Fort Bragg, NC 28310 2017-04-24
1629435714 John Gagnier Physician Assistant Gruber Road, Building #c-1722, Fort Bragg, NC 28310 2016-01-21
1689001711 Shawn Mccool Physician Assistant Bldg X-4813 Air Defense Loop, Fort Bragg, NC 28310 2013-10-03
Find all providers in zip 28310

Taxonomy Information

Taxonomy Code 124Q00000X
Grouping Dental Providers
Classification Dental Hygienist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568003093 Patricia Elizabeth Anderson Dental Hygienist 3718 Gruber Rd Bldg H, Fort Bragg, NC 28310-8934 2019-10-07
1225695273 Breona Lister Dental Hygienist 38 17 Gruber Rd, Fort Bragg, NC 28303 2019-05-24
1154773349 Fay Alleyne Dental Hygienist H-3718 Gruber Rd, Fort Bragg, NC 28310-0001 2016-07-12
1922450113 Rebecca Davis Dental Hygienist 3718h-3718 Gruber Rd, Fort Bragg, NC 28310-0001 2016-07-12
1629356019 Barbara A Mullins Dental Hygienist Building C-6238 Ardennes Drive, Laflamme Dental Clinic, Fort Bragg, NC 28310 2011-08-02
1477046027 Roy Campbell Dental Hygienist 205 South St, Fort Bragg, CA 95437-5540 2018-06-08
1184170961 Leisa Mcginty Dental Hygienist 2817 Reilly St, Fort Bragg, NC 28310-7324 2016-08-31
1114473998 Christa Fontaine Dental Hygienist 2817 Reilly St, Fort Bragg, NC 28310-7324 2016-08-31
1255887162 Melissa Hughes Dental Hygienist 2817 Reilly St, Fort Bragg, NC 28310-7324 2016-08-31
1215380282 Pamela Holsten Dental Hygienist 2817 Reilly St, Fort Bragg, NC 28310-7324 2016-07-14
Find all providers in FORT BRAGG

Competitor

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City FORT BRAGG
Zip Code 28310

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Dataset Information

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.

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