PREVENTIVE FAMILY DENTAL PC (NPI# 1366527400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366527400 |
| Entity Type | Organization |
| Organization Name | PREVENTIVE FAMILY DENTAL PC |
| Practice Address |
1440 Lowell Ave Burlington CO 80807-0094 |
| Mailing Address |
Po Box 94 1440 Lowell Ave Burlington CO 80807-0094 |
| Practice Telephone | 7193467746 |
| Practice Fax Number | 7193465360 |
| Mailing Telephone | 7193467746 |
| Mailing Fax Number | 7193465360 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. JULIE A HUDDLESTON (PRESIDENT) |
| Authorized Official Telephone | 7193467746 |
| Authorized Official Credential | RDH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 2986 | CO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 21420025 | 05 | |
| CO | 29686873 | 05 |
| Street Address |
1440 LOWELL AVE |
| City | BURLINGTON |
| State | CO |
| Zip Code | 80807-0094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104958644 | Julie Ann Huddleston | Dental Hygienist | 1440 Lowell Ave, Burlington, CO 80807-1633 | 2007-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740520642 | Kathryn Helen Dobler | Registered Nurse | 252 South 14th St., Burlington, CO 80807 | 2013-03-01 |
| 1669666269 | Dawn M James | Clinical Nurse Specialist | 54188 County Rd Hh, Burlington, CO 80807 | 2007-08-28 |
| 1972608321 | Kit Carson County Health Services District | Hospice Care, Community Based | 286 16th Street, Burlington, CO 80807 | 2006-09-13 |
| 1043259088 | Aerocare Holdings, Inc | Durable Medical Equipment & Medical Supplies | 349 14th St, Burlington, CO 80807 | 2006-06-05 |
| 1851363865 | Kit Carson County Health and Human Services | Public Health or Welfare | 252 S. 14th Street, Burlington, CO 80807 | 2006-02-03 |
| 1760910178 | Michelle Dawn Wright | Registered Nurse | 182 16th St, Burlington, CO 80807 | 2017-05-30 |
| 1790123669 | Madison Senior Living Management LLC | Respite Care | 465 5th Street, Burlington, CO 80807 | 2013-06-12 |
| 1467753541 | Jason A Sizer | Pharmacist | 314 14th St, Burlington, CO 80807 | 2010-11-05 |
| 1982844874 | Centennial Mental Health Center | Community/Behavioral Health | 1291 Circle Dr, Burlington, CO 80807-1245 | 2009-03-05 |
| 1821657784 | Karl M Ingram | Counselor | 1291 Circle Dr, Burlington, CO 80807-1245 | 2019-06-13 |
| Find all providers in zip 80807 | ||||
| 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 |
|---|---|---|---|---|
| 1366916421 | Draginja Pokrajac | Dental Hygienist | 101 Fairmont Pl, Burlington, VT 05408-1929 | 2019-01-11 |
| 1497145817 | Rhonda Jocelyn Roach | Dental Hygienist | 12454 Gwen Dr Unit 20, Burlington, WA 98233-3831 | 2015-01-24 |
| 1174990931 | Traci Green | Dental Hygienist | 252 S 14th St, Burlington, CO 80807-2321 | 2015-08-27 |
| 1104958644 | Julie Ann Huddleston | Dental Hygienist | 1440 Lowell Ave, Burlington, CO 80807-1633 | 2007-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326900 | Kassidee N Ficken | Dental Hygienist | 6671 Highway 36, Joes, CO 80822 | 2020-11-06 |
| 1932708302 | Andrea Viger | Dental Hygienist | 4167 Clifton Ct, Boulder, CO 80301-1712 | 2020-10-18 |
| 1841803657 | Tanara Dawn Block | Dental Hygienist | 1325 Hover St Ste 201, Longmont, CO 80501-3176 | 2020-08-31 |
| 1750993150 | Holly Delana Julch | Dental Hygienist | 2837 Federal Blvd, Denver, CO 80211-4117 | 2020-08-18 |
| 1841801032 | Ashley Lindsey | Dental Hygienist | 87 Merchant Dr # Usa, Montrose, CO 81401-3015 | 2020-08-12 |
| 1245849256 | Manish Tomar | Dental Hygienist | 4562 E Dartmouth Ave, Denver, CO 80222-6732 | 2020-07-26 |
| 1962028464 | Sarah Jane Tanner | Dental Hygienist | 1190 Everett Ct, Lakewood, CO 80215-4829 | 2020-06-19 |
| 1578186060 | Lacie Overman | Dental Hygienist | 360 Peak One Dr # 100, Frisco, CO 80443-5948 | 2020-05-19 |
| 1811518095 | Victoria Lynn Wilk | Dental Hygienist | 10186 Highland Meadow Cir Apt 33-205, Parker, CO 80134-9481 | 2020-04-29 |
| 1912526351 | Janet Karen Madrid | Dental Hygienist | 4023 Stampede Dr, Castle Rock, CO 80104-7849 | 2020-04-15 |
| Find all providers with the same taxonomy | ||||
| City | BURLINGTON |
| Zip Code | 80807 |
Please comment or provide details below to improve the information on PREVENTIVE FAMILY DENTAL PC.
| 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.