PRISCILLA IVETTE MONTIJO (NPI# 1326590472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326590472 |
| Entity Type | Individual |
| Full Name | PRISCILLA IVETTE MONTIJO |
| Credential | R.D.H. |
| Practice Address |
1845 Holsonback Dr Daytona Beach FL 32117-5114 |
| Practice Telephone | 3862740896 |
| Practice Fax Number | 3862740894 |
| Mailing Telephone | 3862740896 |
| Mailing Fax Number | 3862740894 |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2016-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH 20974 | FL | Dental Providers |
| Street Address |
1845 HOLSONBACK DR |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32117-5114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831158039 | Florida Department of Health | Public Health or Welfare | 1845 Holsonback Dr, Daytona Beach, FL 32117-5114 | 2006-03-17 |
| 1891314308 | Martha Johnson | Dental Hygienist | 1845 Holsonback Dr, Daytona Beach, FL 32117-5114 | 2020-04-14 |
| 1164059663 | Kristina Michelle Miranda | Dental Hygienist | 1845 Holsonback Dr, Daytona Beach, FL 32117-5114 | 2020-03-25 |
| 1730724287 | Marisha Lasha Dixon | Nurse Practitioner | 1845 Holsonback Dr, Daytona Beach, FL 32117-5114 | 2019-11-07 |
| 1003332115 | Danielle Nicole Fritts | Dental Hygienist | 1845 Holsonback Dr, Daytona Beach, FL 32117-5114 | 2017-08-21 |
| 1700302478 | Trina Denise Cowan | Dental Hygienist | 1845 Holsonback Dr, Daytona Beach, FL 32117-5114 | 2017-08-15 |
| 1154846970 | Christine Hulme | Dental Hygienist | 1845 Holsonback Dr, Daytona Beach, FL 32117-5114 | 2017-08-14 |
| 1083166714 | Danielle Lorraine Lindmeyer | Dental Hygienist | 1845 Holsonback Dr, Daytona Beach, FL 32117-5114 | 2016-10-28 |
| 1780136630 | Kerry Vierengel | Dental Hygienist | 1845 Holsonback Dr, Daytona Beach, FL 32117-5114 | 2016-10-26 |
| 1871045724 | Cristin Shea | Dental Hygienist | 1845 Holsonback Dr, Daytona Beach, FL 32117-5114 | 2016-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992350409 | Erin Selfridge | Pharmacist | 1500 Beville Rd #300, Daytona Beach, FL 32117 | 2019-08-02 |
| 1881185494 | Wellspring Health, LLC | Chiropractor | 701 Ridgewood Ave, Holly Hills, FL 32117 | 2018-05-21 |
| 1780172791 | L & L Db, LLC | Clinic/Center | 1540 Cornerstone Blvd, Suite 100, Daytona Beach, FL 32117 | 2018-04-25 |
| 1154837789 | Brittany Nikolow | Nurse Practitioner | 1717 N. Clyde Morris, Daytona Beach, FL 32117 | 2017-12-19 |
| 1205356946 | Alejandro Andre Pabon Rodriguez | Nurse Anesthetist, Certified Registered | Florida Hospital Memorial Medical Center, 301 Memorial Medical Parkway, Daytona Beach, FL 32117 | 2017-06-23 |
| 1316492135 | Ann Van Herck | Physical Therapist | 1901 Mason Ave Ste 105, Daytona Beach, FL 32117 | 2016-08-22 |
| 1952784779 | Kathryn Brenna Copley | Nurse Practitioner | 1890 Lpga Blvd., Daytona Beach, FL 32117 | 2015-06-30 |
| 1053719559 | Alicia Graham | Case Manager/Care Coordinator | 1570 Megan Bay Circle, Holly Hill, FL 32117 | 2014-12-15 |
| 1578974440 | Halifax Senior Care Inc | Clinic/Center | 1515 Ridgewood Ave, Suite B, Holly Hill, FL 32117 | 2014-05-14 |
| 1013345883 | Kist Alf, Inc | Assisted Living Facility | 1516 Carmen Avenue, Daytona Beach, FL 32117 | 2013-10-14 |
| Find all providers in zip 32117 | ||||
| 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 |
|---|---|---|---|---|
| 1891314308 | Martha Johnson | Dental Hygienist | 1845 Holsonback Dr, Daytona Beach, FL 32117-5114 | 2020-04-14 |
| 1164059663 | Kristina Michelle Miranda | Dental Hygienist | 1845 Holsonback Dr, Daytona Beach, FL 32117-5114 | 2020-03-25 |
| 1003332115 | Danielle Nicole Fritts | Dental Hygienist | 1845 Holsonback Dr, Daytona Beach, FL 32117-5114 | 2017-08-21 |
| 1700302478 | Trina Denise Cowan | Dental Hygienist | 1845 Holsonback Dr, Daytona Beach, FL 32117-5114 | 2017-08-15 |
| 1154846970 | Christine Hulme | Dental Hygienist | 1845 Holsonback Dr, Daytona Beach, FL 32117-5114 | 2017-08-14 |
| 1083166714 | Danielle Lorraine Lindmeyer | Dental Hygienist | 1845 Holsonback Dr, Daytona Beach, FL 32117-5114 | 2016-10-28 |
| 1780136630 | Kerry Vierengel | Dental Hygienist | 1845 Holsonback Dr, Daytona Beach, FL 32117-5114 | 2016-10-26 |
| 1871045724 | Cristin Shea | Dental Hygienist | 1845 Holsonback Dr, Daytona Beach, FL 32117-5114 | 2016-10-26 |
| 1326590266 | Deanna Faurot | Dental Hygienist | 1845 Holsonback Dr, Daytona Beach, FL 32117-5114 | 2016-10-26 |
| 1003368184 | Lauren Buxman | Dental Hygienist | 1845 Holsonback Dr, Daytona Beach, FL 32117-5114 | 2016-10-25 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32117 |
Please comment or provide details below to improve the information on PRISCILLA IVETTE MONTIJO.
| 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.