MISS ALISA PUVALOWSKI (NPI# 1386135879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386135879 |
Entity Type | Individual |
Full Name | MISS ALISA PUVALOWSKI |
Credential | RDH |
Practice Address |
58144 Gratiot Ave New Haven MI 48048 |
Mailing Address |
Po Box 480430 New Haven MI 48048-0430 |
Practice Telephone | 5867498002 |
Practice Fax Number | 5867495381 |
Enumeration Date | 2018-05-21 |
Last Update Date | 2018-05-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | Dental Providers |
Street Address |
58144 GRATIOT AVE |
City | NEW HAVEN |
State | MI |
Zip Code | 48048 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659352409 | Kimberly H Thompson | Family Medicine | 58144 Gratiot Ave, New Haven, MI 48048 | 2005-11-09 |
1770138398 | Corey Soper | Social Worker | 58144 Gratiot Ave, New Haven, MI 48048 | 2019-08-09 |
1285293837 | Rachael Vernon | Dentist | 58144 Gratiot Ave, New Haven, MI 48048 | 2019-06-07 |
1013448067 | Aaron William Cloutier | Family Medicine | 58144 Gratiot Ave, New Haven, MI 48048 | 2017-03-22 |
1750757282 | Downriver Community Services, Inc. | Clinic/Center | 58144 Gratiot Ave, New Haven, MI 48048 | 2015-08-19 |
1689085268 | Downriver Community Services, Inc. | Obstetrics & Gynecology | 58144 Gratiot Ave, New Haven, MI 48048 | 2014-05-16 |
1295032449 | Downriver Community Services Inc | Pharmacy | 58144 Gratiot Ave, New Haven, MI 48048 | 2011-02-24 |
1700052438 | Katherine Tyrrell | Dietitian, Registered | 58144 Gratiot Ave, New Haven, MI 48048 | 2008-05-02 |
1265628291 | Yax & Stec Dental Associates, Pllc | Dentist | 58144 Gratiot Ave, Suite 316, New Haven, MI 48048 | 2007-09-24 |
1740473362 | Kimberly Irene Vogel | Dentist | 58144 Gratiot Ave, New Haven, MI 48048 | 2007-08-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255847893 | Heather Fonville | Licensed Practical Nurse | 3201 E. Cranston, New Haven, MI 48048 | 2017-12-19 |
1205251295 | Adrianne Jones Steiner | Counselor | 58144 Gratiot Ave., New Haven, MI 48048 | 2014-02-27 |
1679773659 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 36865 26 Mile Rd, Lenox, MI 48048 | 2007-07-19 |
1588761506 | Charles Joseph Sobers | Dentist | 58144 Gratiot, Suite #316, New Haven, MI 48048 | 2006-09-20 |
1679571392 | Downriver Community Services, Inc. | Clinic/Center | 58144 Gratiot Avenue, New Haven, MI 48048 | 2005-07-08 |
1295985802 | Chandra Lowe | Social Worker | 58144 Gratiot Avenue, New Haven, MI 48048 | 2008-09-19 |
1427248038 | Early Solution Clinic | Clinic/Center | 36865 26 Mile Rd, Lenox, MI 48048 | 2007-07-30 |
1952502569 | Debra Smith | Registered Nurse | 58144 Gratiot Avenue, New Haven, MI 48048 | 2007-05-30 |
1336246792 | Virginia Hartner | Registered Nurse | 58144 Gratiot Avenue, New Haven, MI 48048 | 2006-09-20 |
1932206398 | Doreen Mccomas | Social Worker | 58144 Gratiot Avenue, New Haven, MI 48048 | 2006-09-20 |
Find all providers in zip 48048 |
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 |
---|---|---|---|---|
1104277177 | Danielle Lynn Gerage | Dental Hygienist | 465 Monks Rd, New Haven, KY 40051-6195 | 2016-06-30 |
1144676495 | Cynthia A Miranda | Dental Hygienist | 27 Mansion St, New Haven, CT 06512-3948 | 2016-05-05 |
1528448172 | Elicia Lupoli | Dental Hygienist | 54 Meadow St Fl 3, New Haven, CT 06519-1719 | 2015-06-08 |
1295225407 | Annette Lilianna Nasiadka | Dental Hygienist | 50 Grand Ave, New Haven, CT 06513-3949 | 2018-05-14 |
1497260798 | Elsie Eusebid Eszterhai | Dental Hygienist | 374 Grand Avenue, New Haven, CT 06513 | 2017-12-08 |
1063958502 | Jessica Henrick | Dental Hygienist | 54 Meadow St, New Haven Public Schools, New Haven, CT 06519-1783 | 2017-01-09 |
1720535545 | Enio Gomez | Dental Hygienist | 428 Columbus Ave, New Haven, CT 06519-1233 | 2016-09-09 |
1508312299 | Chelsea Fucci | Dental Hygienist | 54 Meadow St, New Haven, CT 06519-1783 | 2016-08-31 |
1285010504 | Tracey Oberg | Dental Hygienist | 54 Meadow St, 3rd Floor School Health Center, New Haven, CT 06519-1783 | 2015-08-10 |
1083000871 | Erica Troxler-barrett | Dental Hygienist | 20 York Street, New Haven, CT 06511-1463 | 2015-04-08 |
Find all providers in NEW HAVEN |
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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.