MRS. JUDY ANN MANN


Address: 3074 Burgan Ave, Clovis, CA 93611-5231
Phone: 5592922762

MRS. JUDY ANN MANN (NPI# 1467661249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467661249
Entity Type Individual
Full Name MRS. JUDY ANN MANN
Credential RDHAP
Practice Address 3074 Burgan Ave
Clovis
CA 93611-5231
Practice Telephone 5592922762
Practice Fax Number 5592922762
Mailing Telephone 5592922762
Mailing Fax Number 5592922762
Enumeration Date 2007-05-21
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 124Q00000X Dental Hygienist 17916 CA Dental Providers
Y 124Q00000X Dental Hygienist #59 CA Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA DENTI- CAL H-0005901 01
CA RDH LICENSE 17916 01

Other Providers JUDY MANN

NPI Name Taxonomy Address Enumeration
1124195052 Judy M. Mann Family Medicine 6041 Cadillac Ave, Los Angeles, CA 90034-1702 2006-11-29

Office Location

Street Address 3074 BURGAN AVE
City CLOVIS
State CA
Zip Code 93611-5231

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033773122 Mao Thao Pharmacist 2133 Shaw Avenue, Clovis, CA 93611 2019-04-24
1326506098 Lauren Moriah Horsley Speech-Language Pathologist 650 W. Alluvial Ave., Clovis, CA 93611 2019-03-12
1780171223 Alamos Care Skilled Nursing Facility 2193 Alamos Ave, Clovis, CA 93611 2018-04-19
1346612215 Aimee Rasch Occupational Therapy Assistant 650 West Alluvial Avenue, Clovis, CA 93611 2015-10-30
1356778302 Jonathan Crosby Physician Assistant 729 N Medical Center Drive West Suite 101, Clovis, CA 93611 2013-10-07
1093142697 Stacey Melissa Montes Nurse Practitioner 729 N Medical Ctr Dr West, Suite 205, Clovis, CA 93611 2013-09-27
1538594163 Carly Bren Lepp Physician Assistant 2006 Shaw Avenue, Clovis, CA 93611 2013-09-13
1811246150 Vishal Arya Pharmacist 2518 Austin Ave, Clovis, CA 93611 2012-08-31
1669757209 Kiran V Atwal Pharmacist 1815 Herndon Ave--walgreens, Clovis, CA 93611 2011-10-14
1952615957 Weight Away Nutritionist 1895 Herndon Ave, Suite 105, Clovis, CA 93611 2010-08-02
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Taxonomy Information

Taxonomy Code 124Q00000X
Grouping Dental Providers
Classification Dental Hygienist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841839099 Naomi Lynn Amador Dental Hygienist 105 Golf Dr, Clovis, NM 88101-3145 2020-01-04
1538592183 Julie M Yetko Dental Hygienist 26688 Towerline Ln, Clovis, CA 93619-9741 2013-08-19
1801229562 Dena Gideon-hensley Dental Hygienist 1010 Shaw Ave Ste B, Clovis, CA 93612-3950 2013-08-16
1730483710 Judith Renee Brown Dental Hygienist 923 La Jolla Ave, Clovis, CA 93619-8951 2011-01-05
1578124616 Melissa Massetti Dental Hygienist 2740 Herndon Ave, Clovis, CA 93611-6813 2019-06-27
1184198061 Anmoljit Kaur Sandhu Dental Hygienist 1010 Shaw Ave Ste B, Clovis, CA 93612-3950 2019-01-14
1083155840 Nicole Susan Spooner Dental Hygienist 2740 Herndon Ave, Clovis, CA 93611-6813 2017-03-13
1518408376 Arvinderpal Kaur Sidhu Dental Hygienist 2740 Herndon Ave, Clovis, CA 93611-6813 2017-03-13
1023420924 Aimee Victoria Dental Hygienist 2740 Herndon Ave, Clovis, CA 93611-6813 2014-05-27
1306277264 Denali Knudson Dental Hygienist 1330 Shaw Ave Ste 103, Clovis, CA 93612-3985 2013-12-03
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Competitor

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City CLOVIS
Zip Code 93611

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Dataset Information

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.

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