MRS. MISTY DAWN ROBERTSON (NPI# 1437205119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437205119 |
| Entity Type | Individual |
| Full Name | MRS. MISTY DAWN ROBERTSON |
| Credential | RDH |
| Practice Address |
3700 N Perimeter Road Malmstrom Afb MT 59402 |
| Mailing Address |
Po Box 1025 Great Falls MT 59403-1025 |
| Practice Telephone | 4067312846 |
| Mailing Telephone | 4067814746 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 124Q00000X | Dental Hygienist | 2004015668 | MO | Dental Providers |
| Y | 124Q00000X | Dental Hygienist | 1125 | MT | Dental Providers |
| N | 124Q00000X | Dental Hygienist | 760 | WY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | DENTAL HYGIENE LICEENSE | 2004015668 | 01 |
| MT | DENTAL HYGIENE LICENSE | 1125 | 01 |
| WY | DENTAL HYGIENE LICENSE | 760 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437458718 | Misty Robertson | Counselor | 5213 Water Valley Dr, Tallahassee, FL 32303-7910 | 2011-03-25 |
| 1811975881 | Misty White Robertson | Nurse Practitioner | 351 Highway 64, Killen, AL 35645 | 2006-01-09 |
| Street Address |
3700 N PERIMETER ROAD |
| City | MALMSTROM AFB |
| State | MT |
| Zip Code | 59402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194255166 | Jonathan Tankersley | Dentist | 7300 Perimeter Rd, Malmstrom Afb, Mt 59402, Dental Clinic, Apo, AA 59402 | 2017-06-13 |
| 1780061960 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 7200 Perimeter Rd., Bldg 1340, Malmstrom Afb, MT 59402 | 2015-04-27 |
| 1396181533 | 341st Medical Group | Military/U.S. Coast Guard Pharmacy | 341 Mdg/mdss/sgsa 7300 N Perimeter Rd, Bldg 2040, Malstrom Afb, MT 59402 | 2013-05-15 |
| 1205098258 | Dennis Gordon Vanhook | Social Worker | 7300 N Peirmeter Road, 341st Medical Group, Malmstrom Afb, MT 59402 | 2008-07-01 |
| 1699738278 | Carol F Nelson | Nurse Practitioner | 7300 North Perimeter Rd, Malmstrom Afb, MT 59402 | 2006-04-06 |
| 1558829408 | Tyler C Mcdaniel | Psychologist | 7300 N Perimeter Rd, Great Falls, MT 59402 | 2019-03-11 |
| 1952541716 | Stacey Renee Vierra | Physician Assistant | 7300 North Perimeter Road, 341 Medical Group, Malmstrom Afb, MT 59402 | 2009-03-05 |
| 1306094461 | Jeremy Gustafson | Pharmacist | 7300 North Perimeter Road, Malmstrom Afb, MT 59402 | 2008-09-03 |
| 1356329817 | Timothy Paul Gacioch | Physician Assistant | 4300 Perimeter Rd, (341st Med Group) Bldg 2040, Room S156, Malmstrom Afb, MT 59402-0001 | 2006-01-05 |
| 1104848159 | Malmstrom Air Force Base | Military Hospital | 7300 N Perimeter Rd Bldg 2040, 341 Mdos/sgomhf Malmstrom Afb, Great Falls, MT 59402-6701 | 2006-07-25 |
| Find all providers in zip 59402 | ||||
| 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 |
|---|---|---|---|---|
| 1962012781 | Mercy Jean Padgett | Dental Hygienist | 7300 N Perimeter Rd, Malmstrom Afb, MT 59402-6701 | 2020-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538790142 | Melissa Ellen Kjos-peterson | Dental Hygienist | 206 Garland St, Kalispell, MT 59901-2509 | 2020-02-01 |
| 1114557501 | Clancy Ann Casey | Dental Hygienist | 3774 Joelle Dr, Helena, MT 59602-6102 | 2020-01-24 |
| 1598395733 | Carissa Lee-cossel Allen | Dental Hygienist | 465 Taylor Dr, Dillon, MT 59725-7104 | 2020-01-16 |
| 1487299855 | Into The Groove | Dental Hygienist | 4925 Foothill Rd, Butte, MT 59701-7047 | 2019-11-08 |
| 1710538228 | Eric Thomas Hill | Dental Hygienist | 203 Business Center Loop, Kalispell, MT 59901-6885 | 2019-09-25 |
| 1912557653 | Summor Kilgore | Dental Hygienist | 1099 Cowboy Way, Columbia Falls, MT 59912-9068 | 2019-09-15 |
| 1689228090 | Christel Ann Riitano | Dental Hygienist | 702 Harrison Ave, Helena, MT 59601-2615 | 2019-07-25 |
| 1164984399 | Nan'cee Neer-labbe | Dental Hygienist | 14555 Hellgate Lane, Clinton, MT 59825 | 2019-04-05 |
| 1881153286 | Jill Ranae Ferdina | Dental Hygienist | 415 4th Ave S, Wolf Point, MT 59201-1639 | 2019-03-15 |
| 1861958183 | Chanel Plasek | Dental Hygienist | 400 4th Ave W, Poplar, MT 59255-9455 | 2019-02-12 |
| Find all providers with the same taxonomy | ||||
| City | MALMSTROM AFB |
| Zip Code | 59402 |
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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.