LORIELLE M JACK (NPI# 1235594169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235594169 |
| Entity Type | Individual |
| Full Name | LORIELLE M JACK |
| Practice Address |
2530 Colorado Ave Unit 1a Durango CO 81301-4761 |
| Mailing Address |
185 Suttle St Durango CO 81303-8276 |
| Practice Telephone | 9703352442 |
| Mailing Telephone | 9703352232 |
| Mailing Fax Number | 9706772540 |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2020-01-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH002024003 | CO | Dental Providers |
| Street Address |
2530 COLORADO AVE UNIT 1A |
| City | DURANGO |
| State | CO |
| Zip Code | 81301-4761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356781736 | Andrew Blake Brown | Dentist | 2530 Colorado Ave Unit 1a, Durango, CO 81301 | 2013-06-28 |
| 1881043305 | Amanda Rose Brown | Dentist | 2530 Colorado Ave Unit 1a, Durango, CO 81301-4761 | 2016-06-06 |
| 1376907493 | Southwest Colorado Mental Health Center, Inc | Clinic/Center | 2530 Colorado Ave Unit 1a, Durango, CO 81301-4761 | 2016-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467003541 | High Country Counseling, LLC | Social Worker | 101 East 31st Street, Unit B, Durango, CO 81301 | 2019-09-20 |
| 1033629431 | Southern Rockies Addiction Treatment Services | Substance Abuse Rehabilitation Facility | 736 Goeglein Gulch, Durango, CO 81301 | 2017-10-11 |
| 1649710583 | Dr. Michael Washinsky, LLC | Psychiatry & Neurology | 1800 East 3rd Ave., Suite 102, Durango, CO 81301 | 2017-02-25 |
| 1578000113 | Taylor Ferraro | Prevention Professional | 221 E 4th Ave Unit B, Durango, CO 81301 | 2017-01-20 |
| 1467811224 | Newelldixon, Pllc | Clinic/Center | 29423 E. Highway 160, Durango, CO 81301 | 2016-02-22 |
| 1699146803 | Leah Linder | Naturopath | 117 Cr 250. Suite A, Durango, CO 81301 | 2015-10-14 |
| 1780065136 | Jeffrey Hines | Occupational Therapy Assistant | 970 Silver Mesa Driveway, Durango, CO 81301 | 2015-06-11 |
| 1467832410 | Sara Supinski LLC | Clinic/Center | 1911 Main Ave, Suite 240, Durango, CO 81301 | 2015-06-04 |
| 1356735146 | Margaret Austin | Massage Therapist | 1309 E 3rd Avenue, Durango, CO 81301 | 2015-03-19 |
| 1891112280 | Lisa Ann Proulx | Health Educator | 3 Springs Blvd.. Suite 201, Durango, CO 81301 | 2014-03-24 |
| Find all providers in zip 81301 | ||||
| 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 |
|---|---|---|---|---|
| 1568930840 | Madison Grace Hert | Dental Hygienist | 2530 Colorado Ave Ste A, Durango, CO 81301-4760 | 2018-11-05 |
| 1265601926 | Jolene Badding | Dental Hygienist | 1800 E 3rd Avenue, Suite 110, Durango, CO 81301 | 2008-02-27 |
| 1003096074 | Toni L Murray | Dental Hygienist | 555 Rivergate Ln, Suite B1-106, Durango, CO 81301 | 2007-11-07 |
| 1952925497 | Susan Lynn King | Dental Hygienist | 2530 Colorado Ave Ste A, Durango, CO 81301-4760 | 2020-06-01 |
| 1740813369 | Brittny L. Wilson | Dental Hygienist | 1970 E 3rd Ave Lowr Level, Durango, CO 81301-5056 | 2020-02-21 |
| 1477007391 | Jammy Templeton | Dental Hygienist | 701 Camino Del Rio Ste 316, Durango, CO 81301-5596 | 2016-08-09 |
| 1093952962 | Bonnie Maie Hooper | Dental Hygienist | 701 Camino Del Rio, Suite 316, Durango, CO 81301-5466 | 2009-01-14 |
| 1073669073 | Marie L Hustafa | Dental Hygienist | 281 Sawyer Dr, Durango, CO 81303-3409 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326900 | Kassidee N Ficken | Dental Hygienist | 6671 Highway 36, Joes, CO 80822 | 2020-11-06 |
| 1932708302 | Andrea Viger | Dental Hygienist | 4167 Clifton Ct, Boulder, CO 80301-1712 | 2020-10-18 |
| 1841803657 | Tanara Dawn Block | Dental Hygienist | 1325 Hover St Ste 201, Longmont, CO 80501-3176 | 2020-08-31 |
| 1750993150 | Holly Delana Julch | Dental Hygienist | 2837 Federal Blvd, Denver, CO 80211-4117 | 2020-08-18 |
| 1841801032 | Ashley Lindsey | Dental Hygienist | 87 Merchant Dr # Usa, Montrose, CO 81401-3015 | 2020-08-12 |
| 1245849256 | Manish Tomar | Dental Hygienist | 4562 E Dartmouth Ave, Denver, CO 80222-6732 | 2020-07-26 |
| 1962028464 | Sarah Jane Tanner | Dental Hygienist | 1190 Everett Ct, Lakewood, CO 80215-4829 | 2020-06-19 |
| 1578186060 | Lacie Overman | Dental Hygienist | 360 Peak One Dr # 100, Frisco, CO 80443-5948 | 2020-05-19 |
| 1811518095 | Victoria Lynn Wilk | Dental Hygienist | 10186 Highland Meadow Cir Apt 33-205, Parker, CO 80134-9481 | 2020-04-29 |
| 1912526351 | Janet Karen Madrid | Dental Hygienist | 4023 Stampede Dr, Castle Rock, CO 80104-7849 | 2020-04-15 |
| Find all providers with the same taxonomy | ||||
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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.