MARLENE MOORE (NPI# 1346774791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346774791 |
| Entity Type | Individual |
| Full Name | MARLENE MOORE |
| Credential | RDH |
| Practice Address |
675 Main Street Middletown CT 06457 |
| Mailing Address |
4 Twin Oak Ct Avon CT 06001-4538 |
| Practice Telephone | 8603476971 |
| Mailing Telephone | 8603054966 |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2017-04-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 6192 | CT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497146153 | Marlene Theresa Moore | Speech-Language Pathologist | 248 W 35th St, Ground Floor, New York, NY 10001-2505 | 2015-02-16 |
| Street Address |
675 MAIN STREET |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477752525 | Stephanie Noto | Counselor | 675 Main Street, Middletown, CT 06457 | 2007-07-17 |
| 1215537980 | Chelsea Schnorrbusch | Student in an Organized Health Care Education/Training Program | 675 Main Street, Middletown, CT 06457 | 2020-10-30 |
| 1538767165 | Allegra Velazquez | Nutritionist | 675 Main Street, Middletown, CT 06457-2632 | 2020-10-15 |
| 1659998581 | Vanessa Latson | Registered Nurse | 675 Main Street, Middletown, CT 06457 | 2020-06-26 |
| 1528680683 | Sarah Barnhart | Registered Nurse | 675 Main Street, Middletown, CT 06457-2632 | 2020-05-12 |
| 1740801471 | Polly Huynh | Registered Nurse | 675 Main Street, Middletown, CT 06457 | 2020-05-05 |
| 1093342958 | Tanesha Tamara Rankine | Counselor | 675 Main Street, Middletown, CT 06457 | 2020-03-23 |
| 1801422001 | Shawn Curtis | Psychologist | 675 Main Street, Middletown, CT 06457 | 2020-03-19 |
| 1487200226 | Suzanne Mayo Watson | Nurse Practitioner | 675 Main Street, Middletown, CT 06457 | 2019-08-16 |
| 1104479583 | Laina Jean Cross | Nurse Practitioner | 675 Main Street, Middletown, CT 06457 | 2019-07-24 |
| 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 |
| 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 |
| 1962855106 | Christina Bearish | Dental Hygienist | 438 Main St, Suite 204, Middletown, CT 06457-3396 | 2016-07-22 |
| 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.