SHANTELL E DENDAUW (NPI# 1407218498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407218498 |
| Entity Type | Individual |
| Full Name | SHANTELL E DENDAUW |
| Credential | RDH |
| Practice Address |
1113 Progress Dr Medford OR 97504-5201 |
| Mailing Address |
931 Chevy Way Medford OR 97504-4127 |
| Practice Telephone | 5415356239 |
| Practice Fax Number | 5415121026 |
| Mailing Telephone | 5415356239 |
| Mailing Fax Number | 5415121026 |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2020-02-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | H6914 | OR | Dental Providers |
| Street Address |
1113 PROGRESS DR |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-5201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811965593 | Kimberly Leeds Heeter | Dentist | 1113 Progress Dr, Medford, OR 97504-5201 | 2006-03-09 |
| 1790346013 | Kyle M Pett | Dentist | 1113 Progress Dr, Medford, OR 97504-5201 | 2019-06-26 |
| 1083115737 | Dennae Lee Sandoe | Dental Hygienist | 1113 Progress Dr, Medford, OR 97504-5201 | 2018-02-27 |
| 1720586910 | Ayse Van Lienden | Dental Hygienist | 1113 Progress Dr, Medford, OR 97504-5201 | 2018-01-23 |
| 1801312376 | Ashley Stephens | Dental Hygienist | 1113 Progress Dr, Medford, OR 97504-5201 | 2017-08-16 |
| 1477083145 | Erin M Watkins | Denturist | 1113 Progress Dr, Medford, OR 97504 | 2017-06-15 |
| 1831627348 | Alayna Louise Schoblaske | Dentist | 1113 Progress Dr, Medford, OR 97504-5201 | 2017-05-28 |
| 1053854125 | Rachel Murdock | Dental Hygienist | 1113 Progress Dr, Medford, OR 97504-5201 | 2016-11-22 |
| 1154773851 | Mairelys Onate | Dentist | 1113 Progress Dr, Medford, OR 97504-5201 | 2016-07-06 |
| 1477914687 | Angelica Torres | Dental Hygienist | 1113 Progress Dr, Medford, OR 97504-5201 | 2016-03-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| 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 |
|---|---|---|---|---|
| 1487188512 | Darcie Raina Russo | Dental Hygienist | 3429 Creek View Dr, Medford, OR 97504-9624 | 2017-04-15 |
| 1215474671 | Heidi Marie Nernberger | Dental Hygienist | 124 S. Main Street, Medford, WI 54451 | 2017-01-24 |
| 1629423884 | Shelly W Hunter | Dental Hygienist | 2679 Eastover Ter, Medford, OR 97504-6930 | 2016-04-25 |
| 1275930323 | Alexis Fay Anderson | Dental Hygienist | 124 Main St., Medford, WI 54445 | 2014-12-04 |
| 1497152656 | Rachel E Nichols | Dental Hygienist | 124 South Main St, Medford, WI 54451 | 2014-12-03 |
| 1194080481 | Compassion Care LLC | Dental Hygienist | 3730 Fieldbrook Ave, Medford, OR 97504 | 2012-07-12 |
| 1215208954 | Sasha E Laprelle | Dental Hygienist | 495 S Stoneham Cir, Medford, OR 97504-6353 | 2012-01-25 |
| 1942501416 | Shalini Lahoty | Dental Hygienist | 30 Amaranth Pl, Medford, MA 02155-4101 | 2010-11-15 |
| 1093969107 | Renae Dawn Blome | Dental Hygienist | 4366 270th St E, Medford, MN 55049-8001 | 2008-11-17 |
| 1184888992 | Jennifer Burditt | Dental Hygienist | 3306 S Pacific Hwy, 36, Medford, OR 97501-8754 | 2008-07-11 |
| Find all providers in MEDFORD | ||||
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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.