MARY SHEPARD (NPI# 1275942054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275942054 |
| Entity Type | Individual |
| Full Name | MARY SHEPARD |
| Other Name | MARY SILVA |
| Credential | RDH |
| Practice Address |
438 Main St Suite 204 Middletown CT 06457-3396 |
| Mailing Address |
888 Worcester St Suite 130 Wellesley MA 02482-3744 |
| Practice Telephone | 8889646681 |
| Practice Fax Number | 8886620859 |
| Mailing Telephone | 6179646681 |
| Mailing Fax Number | 3396862561 |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2014-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 003183 | CT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376100388 | Mary Shepard | Technician | 1350 E M 21, Owosso, MI 48867-8000 | 2019-05-24 |
| 1639595648 | Mary Jane Shepard | Registered Nurse | 1070 Heckle Blvd, 307, Rock Hill, SC 29732-2853 | 2014-03-14 |
| 1790078301 | Mary C Shepard | Technician | 4913 Professional Ct, Raleigh, NC 27609-4913 | 2011-05-16 |
| 1841323011 | Mary Shepard | Occupational Therapist | 12110 Clayton Rd, Saint Louis, MO 63131-2516 | 2007-03-14 |
| 1669485165 | Mary Alice Shepard | Internal Medicine | 2211 E Mill Plain Blvd, Vancouver, WA 98661-4329 | 2006-08-14 |
| 1730131335 | Mary M Shepard | Nurse Practitioner | 1415 California St, Houston, TX 77006-2602 | 2006-05-16 |
| Street Address |
438 MAIN ST SUITE 204 |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-3396 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316489636 | Nicole Adams | Dental Hygienist | 438 Main St, Suite 204, Middletown, CT 06457-3396 | 2016-11-17 |
| 1528516614 | Colleen Bouffard | Dental Hygienist | 438 Main St, Suite 204, Middletown, CT 06457-3396 | 2016-09-17 |
| 1962855106 | Christina Bearish | Dental Hygienist | 438 Main St, Suite 204, Middletown, CT 06457-3396 | 2016-07-22 |
| 1003233149 | Terri Davis | Dental Hygienist | 438 Main St, Suite 204, Middletown, CT 06457-3396 | 2014-03-26 |
| 1003246042 | Deanna Dennis | Dental Hygienist | 438 Main St, Suite 204, Middletown, CT 06457-3397 | 2013-11-12 |
| 1114353802 | Kathryn Merry Tiedy | Audiologist | 438 Main St, Suite 204, Middletown, CT 06457-3396 | 2013-09-25 |
| 1063750396 | Jessica Rivera | Technician/Technologist | 438 Main St, Suite 204, Middletown, CT 06457-3396 | 2013-01-22 |
| 1013249895 | Paula Kay Mclaughlin | Audiologist | 438 Main St, Suite 204, Middletown, CT 06457-3396 | 2010-02-04 |
| 1821250952 | Eric John Pape | Optometrist | 438 Main St, Suite 204, Middletown, CT 06457-3396 | 2008-06-30 |
| 1841463841 | Ileana Muxo | Dental Hygienist | 438 Main St, Suite 204, Middletown, CT 06457-3396 | 2008-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391961 | Meghan Harrington | Behavior Technician | 101 Centerpoint Drive #243, Middletown, CT 06457 | 2020-06-22 |
| 1427619626 | Collaborative Aba Services, LLC | Behavioral Analyst | 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 | 2019-06-27 |
| 1376100339 | Kimberly Tynik | Pharmacist | 451 Fowler Ave, Middletown, CT 06457 | 2019-05-24 |
| 1184101263 | Tabrez Adil | Dentist | 675 Main St., Middletown, CT 06457 | 2018-07-23 |
| 1326535337 | Rehan Khan | Non-emergency Medical Transport (VAN) | 765 Country Club Rd, Middletown, CT 06457 | 2018-04-16 |
| 1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
| 1902324536 | Cynthia Tine | Physical Therapy Assistant | 628 Congdon Street, Middletown, CT 06457 | 2017-09-04 |
| 1619494390 | Nathan Douglas Roy | Specialist/Technologist | 431 Briarwood Lane, Middletown, CT 06457 | 2017-08-24 |
| 1598286502 | Rachel Hoffman Whelen | Registered Nurse | 420 Saybrook Road, Suite A, Middletown, CT 06457 | 2017-06-29 |
| 1003358326 | Rebecca Rotondo | Social Worker | 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 | 2016-11-17 |
| Find all providers in zip 06457 | ||||
| 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 |
|---|---|---|---|---|
| 1619530722 | Nicholas Mahabir | Dental Hygienist | 10 Cobblestone Ln, Middletown, NY 10940-5089 | 2019-04-16 |
| 1104165885 | Lissette Loeb | Dental Hygienist | 12 Thomas Jefferson Pl, Middletown, NY 10940-4511 | 2013-01-31 |
| 1043587579 | Jeanne M Koury | Dental Hygienist | 123 Academy Avenue, Middletown, NY 10940 | 2011-11-29 |
| 1336373968 | Julie Ann Nocera | Dental Hygienist | 11 Ironwood Ln, Middletown, CT 06457-6127 | 2009-05-11 |
| 1790278828 | Madison Stevens | Dental Hygienist | 101 Centerpoint Dr Ste 215, Middletown, CT 06457-7568 | 2018-06-13 |
| 1346774791 | Marlene Moore | Dental Hygienist | 675 Main Street, Middletown, CT 06457 | 2017-04-12 |
| 1316489636 | Nicole Adams | Dental Hygienist | 438 Main St, Suite 204, Middletown, CT 06457-3396 | 2016-11-17 |
| 1316489313 | Maria Teresa Machado | Dental Hygienist | 635 Main St, Middletown, CT 06457-2718 | 2016-11-08 |
| 1528518693 | Tara Nicole Tremblay | Dental Hygienist | 635 Main St, Attn: Credentialing Dpt, Middletown, CT 06457-2718 | 2016-10-12 |
| 1528516614 | Colleen Bouffard | Dental Hygienist | 438 Main St, Suite 204, Middletown, CT 06457-3396 | 2016-09-17 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 06457 |
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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.