MRS. ANGELA RENA KENNEDY ALCORN (NPI# 1417184250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417184250 |
| Entity Type | Individual |
| Full Name | MRS. ANGELA RENA KENNEDY ALCORN |
| Credential | RDH |
| Practice Address |
11661 Preston Rd Ste 104 Dallas TX 75230-6196 |
| Practice Telephone | 2143614151 |
| Mailing Telephone | 2143614151 |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2009-06-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 8916 | TX | Dental Providers |
| Street Address |
11661 PRESTON RD STE 104 |
| City | DALLAS |
| State | TX |
| Zip Code | 75230-6196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447497102 | Michelle Newby | Dentist | 11661 Preston Rd Ste 104, Dallas, TX 75230-6196 | 2009-01-15 |
| 1811204704 | Linda Cha Masek | Dentist | 11661 Preston Rd Ste 104, Dallas, TX 75230 | 2010-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912552415 | Kyoto Medical Services, Pllc | Orthopaedic Surgery | 12890 Hillcrest Plaza Drive, Suite K111, Dallas, TX 75230 | 2019-08-02 |
| 1528538170 | Angel Laamber Adams | Nurse Practitioner | 7777 Forest Lane Suite C 833, Dallas, TX 75230 | 2018-11-27 |
| 1538634399 | Tochukwu Chioma Uche-ukah | Nurse Practitioner | Dr Katari, Encompass Health Rehabilitations, 7930 Northaven Rd, Dallas, TX 75230 | 2018-10-09 |
| 1790260958 | Ability Aba, Pllc | Behavioral Analyst | 5930 Royal Lane Ste E, #301, Dallas, TX 75230 | 2018-10-03 |
| 1750887956 | Brandi Nicole Freeman | Behavioral Analyst | 5639 Mcshann Rd, Dallas, TX 75230 | 2018-04-05 |
| 1326547720 | Whitney A Stewart | Psychologist | 5924 Royal Lane, Ste 258, Preston Hollow Health & Wellness, Dallas, TX 75230 | 2018-02-12 |
| 1407384373 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7859 Walnut Hill Ln Ste 110, Dallas, TX 75230 | 2017-05-23 |
| 1215488648 | The Walker Wellness Clinic | Community/Behavioral Health | 12200 Preston Rd., Dallas, TX 75230 | 2016-10-20 |
| 1578912325 | Renat Kudyakov | Nurse Practitioner | 7777 Forest Ln Ste B-446, Dallas, TX 75230 | 2016-06-11 |
| 1407210982 | Rohan Venugopal Menon | Pediatrics | 7777 Forest Lane, Bldg B 300, Dallas, TX 75230 | 2016-04-11 |
| Find all providers in zip 75230 | ||||
| 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 |
|---|---|---|---|---|
| 1598196479 | Claudine Love Stevenson | Dental Hygienist | 1250 Se Godsey Rd Apt 97, Dallas, OR 97338-2797 | 2013-12-03 |
| 1992138945 | Julie Ann Gragg | Dental Hygienist | 193 Se Hankel St, Dallas, OR 97338-1515 | 2013-08-14 |
| 1427286764 | Sarah Elizabeth Bryant | Dental Hygienist | 10405 East Northwest Highway, Suite #301, Dallas, TX 75238 | 2009-06-25 |
| 1083100663 | Holly Deann Blank | Dental Hygienist | 11805 Neering Dr, Dallas, TX 75218-1929 | 2018-07-06 |
| 1699025908 | Christine Marie Collery | Dental Hygienist | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2012-09-13 |
| 1649500711 | Hector Ivan Marrero | Dental Hygienist | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2010-01-12 |
| 1912134610 | Vanessa Ann Johnson | Dental Hygienist | 10405 E Northwest Hwy, #301, Dallas, TX 75238-4619 | 2009-06-19 |
| 1124255419 | Nikki Dee Elliott | Dental Hygienist | 9550 Forest Ln, Suite 700, Dallas, TX 75243-5905 | 2009-06-15 |
| 1699902056 | Alisha Diane Bell | Dental Hygienist | 9550 Forest Ln, Dallas, TX 75243-5905 | 2009-06-12 |
| 1386866911 | Elizabeth Sharp | Dental Hygienist | 11661 Preston Rd, Ste 104, Dallas, TX 75230 | 2007-05-03 |
| Find all providers in DALLAS | ||||
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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.