MRS. MICHELE MARIE PROCKNAL-BOWLING (NPI# 1457500092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457500092 |
Entity Type | Individual |
Full Name | MRS. MICHELE MARIE PROCKNAL-BOWLING |
Credential | RDH |
Practice Address |
790 Ridge Rd Baker Victory Dental Center Lackawanna NY 14218 |
Mailing Address |
58 Ludwig Ave West Seneca NY 14224-2604 |
Practice Telephone | 7168289344 |
Mailing Telephone | 7165701755 |
Enumeration Date | 2008-09-18 |
Last Update Date | 2008-09-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | 51 024593 | NY | Dental Providers |
Street Address |
790 RIDGE RD BAKER VICTORY DENTAL CENTER |
City | LACKAWANNA |
State | NY |
Zip Code | 14218 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669539029 | Daniel Mangold | Psychiatry & Neurology | 790 Ridge Rd, Baker Victory Services, D. Mangold, M.d., Lackawanna, NY 14218-1629 | 2007-01-03 |
1881203669 | Dawn Gayadeen | Counselor | 790 Ridge Rd, Lackawanna, NY 14218-1629 | 2020-07-28 |
1518514678 | Dawn Marie Luniewski | Occupational Therapist | 790 Ridge Rd, Lackawanna, NY 14218-1629 | 2019-08-23 |
1760959407 | Jordan Toles | Peer Specialist | 790 Ridge Rd, Lackawanna, NY 14218-1629 | 2018-10-31 |
1427533975 | Bianca Scott-malone | Case Manager/Care Coordinator | 790 Ridge Rd, Lackawanna, NY 14218-1629 | 2018-10-01 |
1932684016 | Karen Dwyer | Community Health Worker | 790 Ridge Rd, Lackawanna, NY 14218-1629 | 2018-09-25 |
1487138830 | Kevin Chapman Chapman | Community Health Worker | 790 Ridge Rd, Lackawanna, NY 14218-1629 | 2018-09-21 |
1790269652 | Taryn Wilde | Community Health Worker | 790 Ridge Rd, Lackawanna, NY 14218-1629 | 2018-09-17 |
1740764695 | Bryan Buchanan | Community Health Worker | 790 Ridge Rd, Lackawanna, NY 14218-1629 | 2018-09-17 |
1346724291 | Marium Ashraf | Community Health Worker | 790 Ridge Rd, Lackawanna, NY 14218-1629 | 2018-09-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811419765 | Jennifer Lynn Cuneo | Nurse Practitioner | 20 Maryknoll Dr, Lackawanna, NY 14218 | 2017-07-12 |
1144579251 | Jennifer Jalil-contreras | Social Worker | 33 Wilkesbarre Avenue, Lackawanna, NY 14218 | 2012-09-05 |
1578833323 | Buffalo Synapse Support, LLC | Specialist/Technologist, Other | 609 Ridge Road, Lackawanna, NY 14218 | 2012-01-11 |
1851546097 | Rania Karam-bayoumi | Family Medicine | 227 Ridge Road, Lackawanna, NY 14218 | 2008-12-01 |
1548427552 | Jennifer Anne Molea | Specialist | 1025 Ridge Road, Lackawanna, NY 14218 | 2008-05-19 |
1649481904 | Richard Edwin Zambron | Dentist | 1243 Ridge Road, Lackawanna, NY 14218 | 2007-05-25 |
1447461876 | Baker Victory Services | Nursing Facility/Intermediate Care Facility | 180 Martin Road, Lackawanna, NY 14218 | 2007-05-25 |
1396956462 | Baker Victory Services | Psychiatric Residential Treatment Facility | 150 Martin Road, Lackawanna, NY 14218 | 2007-05-24 |
1245352921 | Baker Hall | Day Training, Developmentally Disabled Services | 650 Ridge Road, Lackawanna, NY 14218 | 2007-04-04 |
1730210238 | Brandi Arcara | Counselor | 2600 South Park Avenue, Parkview Center, Lackawanna, NY 14218 | 2007-03-08 |
Find all providers in zip 14218 |
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 |
---|---|---|---|---|
1700043965 | Cynthia Hopkins | Dental Hygienist | 780 Ridge Rd, Lackawanna, NY 14218-1629 | 2008-05-16 |
1114314861 | Emily Ricotta | Dental Hygienist | 790 Ridge Rd, Lackawanna, NY 14218-1629 | 2015-04-21 |
1932595758 | Cathylee Rigoli | Dental Hygienist | 790 Ridge Rd, Lackawanna, NY 14218-1629 | 2015-04-08 |
1447643663 | Jennifer Joseph | Dental Hygienist | 790 Ridge Rd, Lackawanna, NY 14218-1629 | 2015-03-12 |
1023394582 | Ashley M Krupski | Dental Hygienist | 790 Ridge Rd, Lackawanna, NY 14218-1629 | 2011-10-28 |
1073899555 | Andrea L Sellan | Dental Hygienist | 790 Ridge Rd, Lackawanna, NY 14218-1629 | 2011-10-27 |
1043537764 | Melanie Fetzer | Dental Hygienist | 790 Ridge Rd, Lackawanna, NY 14218-1701 | 2010-04-21 |
1962650176 | Melissa Julia Makey | Dental Hygienist | 790 Ridge Rd, Lackawanna, NY 14218-1629 | 2008-08-29 |
1477701852 | Adrienne Gertrude Frerichs-racheli | Dental Hygienist | 790 Ridge Rd, Lackawanna, NY 14218-1629 | 2008-08-28 |
1164681466 | Darlene Bradley | Dental Hygienist | 790 Ridge Rd, Lackawanna, NY 14218-1629 | 2008-06-03 |
Find all providers in LACKAWANNA |
City | LACKAWANNA |
Zip Code | 14218 |
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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.