CARLYTHEA Y HAGERMAN (NPI# 1255763512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255763512 |
| Entity Type | Individual |
| Full Name | CARLYTHEA Y HAGERMAN |
| Credential | RDH |
| Practice Address |
47 Town St Norwich CT 06360-2315 |
| Practice Telephone | 8608927042 |
| Mailing Telephone | 8608927042 |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2013-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 7946 | CT | Dental Providers |
| Street Address |
47 TOWN ST |
| City | NORWICH |
| State | CT |
| Zip Code | 06360-2315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396741534 | Elizabeth L Goodin | Dentist | 47 Town St, Norwich, CT 06360-2315 | 2005-06-22 |
| 1730786674 | Elizabeth Florentine | Social Worker | 47 Town St, Norwich, CT 06360-2323 | 2020-10-05 |
| 1063028975 | Colleen Roche | Social Worker | 47 Town St, Norwich, CT 06360-2323 | 2020-09-17 |
| 1477167120 | Erin Apt | Nurse Practitioner | 47 Town St, Norwich, CT 06360-2323 | 2020-09-01 |
| 1558973610 | Ashley Lynn West | Nurse Practitioner | 47 Town St, Norwich, CT 06360-2323 | 2020-08-20 |
| 1427671353 | Kathryn Brahm | Social Worker | 47 Town St, Norwich, CT 06360-2323 | 2020-05-27 |
| 1336761485 | Debra Gottschalk | Counselor | 47 Town St, Norwich, CT 06360-2323 | 2020-05-12 |
| 1689200859 | Jillian Hardy | Marriage & Family Therapist | 47 Town St, Norwich, CT 06360-2323 | 2020-03-19 |
| 1629610860 | Victoria Hulsman | Counselor | 47 Town St, Norwich, CT 06360-2323 | 2019-10-09 |
| 1407402654 | Katherine Ramos | Social Worker | 47 Town St, Norwich, CT 06360-2323 | 2019-08-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417452 | Mafe Duyan Rato | Nurse Practitioner | 624 W West Main St, St 140, Norwich, CT 06360 | 2020-11-03 |
| 1255961561 | Holly M. Renstrom | Driver | 17 Annadell Rd, Norwich, CT 06360 | 2020-01-26 |
| 1609335397 | Chanel Justice | Social Worker | 2 Clinic Drive, Outpatient Clinic for Children, Norwich, CT 06360 | 2019-03-13 |
| 1457700189 | Michelle Pressler | Pharmacist | 634 West Main St, Norwich, CT 06360 | 2016-06-03 |
| 1265895726 | Katie Johnson | Social Worker | 18 Oneco Street, Norwich, CT 06360 | 2016-04-01 |
| 1871956623 | Lori Deslandes-paz | Pharmacist | 372 West Main Street, Norwich, CT 06360 | 2016-03-30 |
| 1336526193 | Keep An Open Mind, LLC | Marriage & Family Therapist | 12 Cass Street, Suite 202, Norwich, DC 06360 | 2015-04-30 |
| 1588084446 | Kinneri Kothari | Ophthalmology | 79 Wawecus St Ste 105, Norwich, CT 06360 | 2014-04-18 |
| 1962746537 | Robin B Smith | Social Worker | 401 W. Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-20 |
| 1063766400 | Colleen Ellen Phillips-white | Social Worker | 401 West Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-07 |
| Find all providers in zip 06360 | ||||
| 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 |
|---|---|---|---|---|
| 1699224469 | Brandy Lobdell | Dental Hygienist | 17 Midland Dr, Norwich, NY 13815-1914 | 2016-09-22 |
| 1588034110 | Katherine Rygielski | Dental Hygienist | 47 Town St, Norwich, CT 06360-2323 | 2015-09-25 |
| 1407258619 | Mirline Theodore | Dental Hygienist | 47 Town St, Norwich, CT 06360-2323 | 2014-09-18 |
| 1790198828 | Dawn Lynch | Dental Hygienist | 17 Midland Dr, Norwich, NY 13815-1914 | 2014-06-05 |
| 1891110904 | Deirdre Daboll | Dental Hygienist | 47 Town St, Norwich, CT 06360-2315 | 2014-02-26 |
| 1669707410 | Natasha Selene Ahmad | Dental Hygienist | 47 Town St, Norwich, CT 06360-2315 | 2009-10-13 |
| 1649410408 | Eva M Ahern | Dental Hygienist | 47 Town St, Norwich, CT 06360-2315 | 2009-03-05 |
| 1891895900 | Patricia Anne Souter | Dental Hygienist | 65 Sachem St, Norwich, CT 06360 | 2006-09-25 |
| 1679673784 | Loren Lyle Neddeau | Dental Hygienist | 65 Sachem St, Norwich, CT 06360 | 2006-09-25 |
| 1316980964 | Nancy J Hudecek | Dental Hygienist | 47 Town St, Norwich, CT 06360-2315 | 2006-06-13 |
| Find all providers in NORWICH | ||||
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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.