LIDICE GONZALEZ (NPI# 1407373673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407373673 |
| Entity Type | Individual |
| Full Name | LIDICE GONZALEZ |
| Credential | PHDHP |
| Practice Address |
625 S Duke St Lancaster PA 17602-4509 |
| Mailing Address |
333 N Arch St Lancaster PA 17603-2928 |
| Practice Telephone | 7172996372 |
| Practice Fax Number | 7179451587 |
| Mailing Telephone | 7172996372 |
| Mailing Fax Number | 7179451587 |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2017-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH070711 | PA | Dental Providers |
| Street Address |
625 S DUKE ST |
| City | LANCASTER |
| State | PA |
| Zip Code | 17602-4509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821079062 | Cindy L Gochnauer | Pharmacist | 625 S Duke St, Lancaster, PA 17602-4509 | 2005-11-07 |
| 1942819248 | Jerrin Johnson | Dentist | 625 S Duke St, Lancaster, PA 17602-4509 | 2020-07-23 |
| 1760027759 | Rebecca Marie Carnes | Nurse Practitioner | 625 S Duke St, Lancaster, PA 17602-4509 | 2019-11-13 |
| 1942786892 | Joshua Wilkins | Physician Assistant | 625 S Duke St, Lancaster, PA 17602-4509 | 2018-07-13 |
| 1770092082 | Emilee Reeder | Dental Hygienist | 625 S Duke St, Lancaster, PA 17602-4509 | 2017-09-29 |
| 1184140279 | Karen Johnston Sherwood | Dental Hygienist | 625 S Duke St, Lancaster, PA 17602-4509 | 2017-08-21 |
| 1851847552 | Matthew Mease | Dentist | 625 S Duke St, Lancaster, PA 17602 | 2016-09-01 |
| 1972956647 | Kelby M Okada | Dentist | 625 S Duke St, Lancaster, PA 17602-4509 | 2016-07-19 |
| 1962859348 | Lindsay Nicole Smith | Dentist | 625 S Duke St, Lancaster, PA 17602-4509 | 2016-05-16 |
| 1225410590 | Mark Bradle | Dentist | 625 S Duke St, Lancaster, PA 17602-4509 | 2015-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313173 | Taylor Giambrone | Registered Nurse | Lgh Nurse Family Partnership, 555 North Duke Street, Lancaster, PA 17602 | 2020-10-12 |
| 1982268843 | Blanche Nichole Breznak | Pharmacist | 201 East Chestnut St, Lancaster, PA 17602 | 2019-04-25 |
| 1285104851 | Stephanie Benedict | Pharmacist | 1603 Lincoln Highway East, Lancaster, PA 17602 | 2018-11-27 |
| 1043709835 | Deborah J Campos-bard, Lmt | Massage Therapist | 439 N. Duke St. 2nd Fl., 2, Lancaster, PA 17602 | 2018-05-07 |
| 1861989493 | Functional Freedom LLC | Occupational Therapist | 105 Heritage Rd., Lancaster, PA 17602 | 2018-04-19 |
| 1083094577 | Gracie Berry | Counselor | 413 Church St, Lancaster, PA 17602 | 2015-06-01 |
| 1366835597 | Holcomb Associates, Inc. | Community/Behavioral Health | 800 New Holland Avenue, Lancaster, PA 17602 | 2015-03-12 |
| 1205236965 | Maria Taylor | Physician Assistant | 555 N Duke Street, Lghp Hospitalists, Lancaster, PA 17602 | 2014-09-01 |
| 1114355104 | Charles Eugene Stream | Physician Assistant | 133 East Fredeick Street, Lancaster, PA 17602 | 2013-10-29 |
| 1710221668 | Kourtney Randsdorp | Occupational Therapist | 105 Heritage Rd, Lancaster, PA 17602 | 2012-11-15 |
| Find all providers in zip 17602 | ||||
| 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 |
|---|---|---|---|---|
| 1275922080 | Marcia Monae Hooks | Dental Hygienist | 43508 Gadsden Ave Apt #235, Lancaster, CA 93534 | 2015-01-16 |
| 1972945178 | Gail J. Lorenzo | Dental Hygienist | 2320 Middlegreen Ct, Lancaster, PA 17601-4928 | 2013-07-29 |
| 1467734665 | Nikole Breanne Smith | Dental Hygienist | 1126 E Avenue J2, Lancaster, CA 93535-3949 | 2011-09-13 |
| 1073810867 | Susan Slosing | Dental Hygienist | 18711 W Avenue E4, Lancaster, CA 93536-9050 | 2011-02-14 |
| 1528295268 | Laura Ann Jouflas | Dental Hygienist | 5819 W Avenue K2, Lancaster, CA 93536-5650 | 2009-06-21 |
| 1770092082 | Emilee Reeder | Dental Hygienist | 625 S Duke St, Lancaster, PA 17602-4509 | 2017-09-29 |
| 1225554264 | Anna M Ebersol | Dental Hygienist | 333 N Arch St, Lancaster, PA 17603-2928 | 2017-08-22 |
| 1184140279 | Karen Johnston Sherwood | Dental Hygienist | 625 S Duke St, Lancaster, PA 17602-4509 | 2017-08-21 |
| 1497112262 | Kala Jean Denlinger | Dental Hygienist | 1685 Crown Ave, Lancaster, PA 17601-6322 | 2016-01-25 |
| 1548633639 | Linda Beam | Dental Hygienist | 1685 Crown Ave, Lancaster, PA 17601-6322 | 2015-11-11 |
| Find all providers in LANCASTER | ||||
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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.