DAVILIQUA THOMAS (NPI# 1255785994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255785994 |
Entity Type | Individual |
Full Name | DAVILIQUA THOMAS |
Credential | R.D.H. |
Practice Address |
7215 N Bell Ave Chicago IL 60645-2046 |
Practice Telephone | 2246277865 |
Enumeration Date | 2016-04-19 |
Last Update Date | 2016-04-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 124Q00000X | Dental Hygienist | 16719 | TX | Dental Providers |
Y | 124Q00000X | Dental Hygienist | 0200013282 | IL | Dental Providers |
Street Address |
7215 N BELL AVE |
City | CHICAGO |
State | IL |
Zip Code | 60645-2046 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306210117 | Brenda Ann Jarred | Massage Therapist | 6510 N Claremont Ave, 3rd Floor, Chicago, IL 60645 | 2015-11-17 |
1568850881 | Kathryn A Pusateri | Counselor | 6554 North Rockwell Street, Suite 2, Chicago, IL 60645 | 2015-01-09 |
1447671169 | Miriam Belsky | Speech-Language Pathologist | 6524 N Mozart St Apt 3, Chicago, IL 60645 | 2013-12-23 |
1972880912 | Harold B Shrifter | Internal Medicine | 6450 N. California Ave., Chicago, IL 60645 | 2011-11-04 |
1306159710 | Amy M Carl | Social Worker | 3003 W Touhy, Council for Jewish Elderly, Chicago, IL 60645 | 2010-07-15 |
1699919043 | Boguslawa Romanowska | Physical Therapist | 6211 N. Milwaukee, Chicago, IL 60645 | 2009-04-29 |
1851539522 | Yoela Tamara Holman | Speech-Language Pathologist | 3056 W. Sherwin Ave., Chicago, IL 60645 | 2009-02-03 |
1285884577 | Ingrid Forsberg | Nurse Practitioner | 7510 N Western, Chicago, IL 60645 | 2008-09-24 |
1881842581 | S Fatima Md Sc | Internal Medicine | 7133 North Ridge Blvd., Chicago, IL 60645 | 2008-09-05 |
1013173467 | A Place for Children | Early Intervention Provider Agency | 2425 W Pratt, Chicago, IL 60645 | 2008-08-05 |
Find all providers in zip 60645 |
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 |
---|---|---|---|---|
1417504192 | Laura M Scully | Dental Hygienist | 7013 W Farragut Ave, Chicago, IL 60656-1923 | 2019-08-19 |
1982269551 | Elisabeth Raya | Dental Hygienist | 1950 W Polk St Ste 1000, Chicago, IL 60612-3723 | 2019-05-08 |
1477009793 | Shawanda Carothers | Dental Hygienist | 8321 S. Hermitage Ave, Chicago, IL 60620-4630 | 2016-08-28 |
1033664420 | Rozalia Orlof | Dental Hygienist | 5415 N Neva Ave, Chicago, IL 60656-1934 | 2016-08-16 |
1053865865 | Gina Marie Misch | Dental Hygienist | 6535 W 60th St, Chicago, IL 60638-3313 | 2016-08-09 |
1063889228 | Allison Winters | Dental Hygienist | 1741 W 93rd St, Chicago, IL 60643-5851 | 2015-08-24 |
1265784151 | Van Anh Nguyen | Dental Hygienist | 6074 N Troy St., Chicago, IL 60659 | 2012-10-03 |
1013262401 | Alfredo Carrasquillo | Dental Hygienist | 4104 W Nelson St, Chicago, IL 60641-5441 | 2012-07-21 |
1326318718 | Althea Brinker-thomas | Dental Hygienist | 3851 W Ogden Ave, Attn: Dental Dept, Chicago, IL 60623-2459 | 2012-01-03 |
1760587448 | Dental Comfort,ltd | Dental Hygienist | 4239 S. Archer Ave., Chicago, IL 60632 | 2006-09-14 |
Find all providers in CHICAGO |
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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.