EMILY JEAN PIETRUCHA (NPI# 1467976688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467976688 |
| Entity Type | Individual |
| Full Name | EMILY JEAN PIETRUCHA |
| Credential | DMD |
| Practice Address |
Naval Hospital Beaufort 1 Pinckney Blvd Beaufort SC 29902 |
| Mailing Address |
15 Stonehedge Dr Bennington VT 05201-2360 |
| Practice Telephone | 8027337162 |
| Mailing Telephone | 8027337162 |
| Enumeration Date | 2017-07-30 |
| Last Update Date | 2017-07-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
016.0132180 | VT | Dental Providers |
| Street Address |
NAVAL HOSPITAL BEAUFORT 1 PINCKNEY BLVD |
| City | BEAUFORT |
| State | SC |
| Zip Code | 29902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750366373 | Christopher Jon Kardohely | Podiatrist | Naval Hospital Beaufort, 1 Pickney Blvd., Beaufort, SC 29902 | 2005-12-07 |
| 1366904229 | Jacob Prows | Dentist | Naval Hospital Beaufort, 1 Pinckney Blvd, Building 1, Beaufort, SC 29902 | 2019-04-01 |
| 1508351339 | Nathaniel Maxwell Caple | Dentist | Naval Hospital Beaufort, 1 Pinckney Blvd, Beaufort, SC 29902 | 2018-06-25 |
| 1437266418 | Stephanie Lynne Ford | Nurse Practitioner | Naval Hospital Beaufort, 1 Pinckney Blvd Attn Professional Affairs Coordinator, Beaufort, SC 29902-6148 | 2006-08-24 |
| 1093739468 | Earnest Charles Washington | Clinic/Center | Naval Hospital Beaufort, Beaufort, SC 29902 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063024578 | Beaufort County Memorial Hospital | Family Medicine | Beaufort Memorial Preoperative Assessment Clinic, 989 Ribaut Road Suite 370, Beaufort, SC 29902 | 2020-08-18 |
| 1750992475 | Fayth Polite | Social Worker | 2210 Salem Drive East, Beaufort, SC 29902 | 2020-08-14 |
| 1417509530 | Andrew Grant Miner | Dentist | Naval Hospital Beaufort, 1 Pinckney Blvd., Fpo, AA 29902 | 2019-07-09 |
| 1376029777 | Edward Dela Fuente | Counselor | Coastal Empire Mental Health Center, 1050 Ribaut Road, Beaufort, SC 29902 | 2018-07-18 |
| 1114440419 | Kristin Webb | Registered Nurse | 607 Wilmington Street, Beaufort, SC 29902 | 2017-07-19 |
| 1326582081 | Annemarie Gierling Gault | Nurse Practitioner | Beaufort Memorial Medical Oncology Infusion Center, 989 Ribaut Rd, Ste 103, Beaufort, SC 29902 | 2016-12-14 |
| 1114396579 | Jacquelyn Faith Proulx | Dentist | 1 Pickney Blvd., Naval Hospital Beaufort, Beaufort, SC 29902 | 2015-09-16 |
| 1386028413 | Howard Family Dental - Beaufort, Pllc | Dentist | 35 Robert Smalls Pkwy, Beaufort, SC 29902 | 2015-07-18 |
| 1598018103 | Lisa Marie Johnson | Occupational Therapist | 9555 Ribaut Road, Beaufort Memorial Hospital, Beaufort, SC 29902 | 2012-10-19 |
| 1134497860 | Jeremy Michael Simmons | Pharmacist | 2127 Boundary Street, Suite 19, Beaufort, SC 29902 | 2011-12-08 |
| Find all providers in zip 29902 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384479 | Jamie Michael Mcwilliams | Dentist | 35 Robert Smalls Pkwy Ste 103, Beaufort, SC 29906-4266 | 2020-07-28 |
| 1437771045 | Sidney Michelle Chadwick | Dentist | 121 Tiffany Way, Beaufort, NC 28516-9432 | 2020-05-18 |
| 1376038687 | Derek Ray Dawson | Dentist | 74 Shadow Moss Dr, Beaufort, SC 29906 | 2018-06-28 |
| 1891286696 | Hannah Lee Thompson | Dentist | 1619 Like Oak St, Beaufort, NC 28516 | 2018-05-29 |
| 1114396579 | Jacquelyn Faith Proulx | Dentist | 1 Pickney Blvd., Naval Hospital Beaufort, Beaufort, SC 29902 | 2015-09-16 |
| 1851555635 | William Collins Donovan | Dentist | 65 Sams Point Rd, Beaufort, SC 29907-2010 | 2008-07-11 |
| 1821274598 | Palmetto Smiles of Beaufort LLC | Dentist | 40 Kemmerlin Ln, Beaufort, SC 29907-2709 | 2008-01-12 |
| 1114109618 | Earl Bostick,sr. D.m.d & Assoc. P.a. | Dentist | 102 Sea Island Pwky, Suite J, Beaufort, SC 29907 | 2007-11-27 |
| 1366638462 | Aaron M Bliley | Dentist | 17a Marshellen Dr, Beaufort, SC 29902-6900 | 2007-09-21 |
| 1063535615 | Gregory Reed Campbell | Dentist | 12 Hendersons Way, Beaufort, SC 29907-2146 | 2007-04-09 |
| Find all providers in BEAUFORT | ||||
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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.