USS DWIGHT D EISENHOWER CVN 69 (NPI# 1417001835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417001835 |
| Entity Type | Organization |
| Organization Name | USS DWIGHT D EISENHOWER CVN 69 |
| Other Organization Name | UNITED STATES NAVY |
| Practice Address |
Uss Dwight Eisenhower, Dental Fpo AE 09532 |
| Practice Telephone | 7574453302 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. SANDRA M HALTERMAN (ORAL & MAXILLOFACIAL SURGEON) |
| Authorized Official Telephone | 7474453302 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
30020312 | OH | Dental Providers |
| Other Name | Type Code |
|---|---|
| United States Navy | Other Name - Individual/Organization |
| Street Address |
USS DWIGHT EISENHOWER, DENTAL |
| City | FPO |
| State | AE |
| Zip Code | 09532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932218526 | Ruth Abbott Ledbetter | Dental Hygienist | Uss Dwight D Eisenhower Cvn 69, Fpo, AE 09532 | 2006-08-29 |
| 1932101557 | Scott David Thomas | Dentist | Uss Dwight D Eisenhower, Norfolk, VA 09532 | 2005-08-12 |
| 1114139185 | Yolonda Delline Franklin | Military Health Care Provider | Uss Dwight D Eisenhower Cvn 69, Medical Dept, Fpo, AE 09532 2380 | 2007-05-04 |
| 1760731160 | Alana Myers | Military Health Care Provider | Uss Dwight D. Eisenhower Cvn 69, Medical Department, Fpo, AE 09532-2830 | 2012-08-31 |
| 1669441069 | Michael Thomas Acromite | Obstetrics & Gynecology | Uss Dwight D Eisenhower, Medical Department, Fpo, AE 09532-2830 | 2006-03-16 |
| 1528210374 | John Wesley Huckleberry II | Military Health Care Provider | Unit 100236 Drawer 2703, Uss Dwight D Eisenhower Cvn 69, Fpo, AE 09532-3627 | 2008-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899853 | London Mingo | Social Worker | 2769 Yaka Kin Cho, Fpo, AP 96388-0071 | 2020-10-21 |
| 1538768833 | James Blake Weldon | Military Health Care Provider | Unit 100517 Bx 1, Fpo, AP 09655 | 2020-10-19 |
| 1487260311 | Doria Living | Registered Nurse | Ushno, Fpo, AP 96367 | 2020-09-16 |
| 1225643307 | Brice Blahnik | Dentist | 1 St Dental Battalion/naval Dental Center Attn: Medical, Bldg 2238 A Ave Camp Pendleton, Ca. 92055-5221, Fpo, AA 92055-5221 | 2020-09-15 |
| 1609489061 | Genesis Health Care Inc | Home Health | Uss Wasp Lhd1 Unit 100261, Fpo, AE 09514 | 2020-08-26 |
| 1669081857 | Acacia L Elmer | Registered Nurse | Psc 808 Box 3104, Fpo, AE 09618-0032 | 2020-07-24 |
| 1932724754 | William Dowling | Student in an Organized Health Care Education/Training Program | 260 John Paul Jones Circle, Fpo, AA 23708 | 2020-06-09 |
| 1518581776 | Taylor D Benson | Audiologist | Building 960, Floor 3, East Wing, Fpo, AP 96362-0017 | 2020-06-03 |
| 1740803279 | Issa Khalil | Military Health Care Provider | Uss Donald Cook, Fpo, AE 09566 | 2020-05-19 |
| 1295360055 | Kiran Kumar Gurung | Dental Hygienist | Uss Bataan (lhd-5), Fpo, AE 09554-1657 | 2020-03-11 |
| Find all providers in FPO | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710266044 | Daniel John Fisher | Dentist | Medical Staff Services, Bldg H 2005 Knight Lane, Fpo, AA 32212 | 2011-08-04 |
| 1114229317 | Brian David Evans | Dentist | Uss Carl Vinson Cvn70, Unit 1000111 Box 1770, Fpo, AP 96629 | 2010-11-22 |
| 1447486170 | Christopher Eric Crecelius | Dentist | Uss Abraham Lincoln, (cvn72) Dental Division, Fpo, AP 96612-2872 | 2009-06-09 |
| 1801859905 | Darius A Richardson | Dentist | Box 9095, Fpo, AP 96538 | 2006-04-10 |
| 1144209412 | Daniel P. Clifford | Dentist | Naval Hospital Okinawa, Psc 482 Box 1600, Fpo, AP 96362 | 2006-01-13 |
| 1801875836 | James B. Mazock | Dentist | Psc 819, Box 18-133, Fpo, SPAIN AE | 2006-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801025770 | Benjamin Andy Shirley | Dentist | Raf Lakenheath 48 Mdg/sghc, Unit 5115, Apo, AE 09461-5115 | 2009-07-13 |
| 1366521312 | Robert I. Delo | Dentist | Unit 6180 Box 245, Apo, AE 09604-0245 | 2006-11-02 |
Please comment or provide details below to improve the information on USS DWIGHT D EISENHOWER CVN 69.
| 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.