MISS ALISA PUVALOWSKI


Address: 58144 Gratiot Ave, New Haven, MI 48048
Phone: 5867498002

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist Dental Providers

Office Location

Street Address 58144 GRATIOT AVE
City NEW HAVEN
State MI
Zip Code 48048

Providers in the same location

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
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 124Q00000X
Grouping Dental Providers
Classification Dental Hygienist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City NEW HAVEN
Zip Code 48048

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Dataset Information

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.

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