MISS SHANNON TRENAY BENJAMIN (NPI# 1477705630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477705630 |
Entity Type | Individual |
Full Name | MISS SHANNON TRENAY BENJAMIN |
Credential | RDH |
Practice Address |
1067 Twining Dr Barksdale Afb LA 71110-2486 |
Mailing Address |
4147 Calderwood Dr Shreveport LA 71119-7623 |
Practice Telephone | 3184566775 |
Mailing Telephone | 3184566775 |
Enumeration Date | 2008-10-21 |
Last Update Date | 2008-10-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | 4022 | LA | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568911865 | Shannon Michelle Benjamin | Registered Nurse | 2519 Palmeto Dr, New Iberia, LA 70563-2926 | 2016-09-27 |
1366830713 | Shannon Benjamin | Physical Therapist | 630 Nw Rosaceae Dr, Blue Springs, MO 64015-3679 | 2015-01-07 |
Street Address |
1067 TWINING DR |
City | BARKSDALE AFB |
State | LA |
Zip Code | 71110-2486 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891784211 | Douglas Alan Ottaway | Dentist | 1067 Twining Dr, Barksdale Afb, LA 71110-2486 | 2005-10-18 |
1588278808 | Logan Garrett Ledesma | Dentist | 1067 Twining Dr, Barksdale Afb, LA 71110-2486 | 2020-09-03 |
1376194050 | Nathan Eck | Dentist | 1067 Twining Dr, Barksdale Afb, LA 71110-2486 | 2019-09-24 |
1114578945 | Cam Tran Nguyen | Dentist | 1067 Twining Dr, Barksdale Afb, LA 71110-2486 | 2019-09-23 |
1508422197 | Tanner Brunnworth | Student in an Organized Health Care Education/Training Program | 1067 Twining Dr, Barksdale Afb, LA 71110-2486 | 2019-05-19 |
1083277974 | Alexa Roseberry | Dentist | 1067 Twining Dr, Barksdale Afb, LA 71110-2486 | 2019-04-17 |
1588157713 | Joel Gobble | Dentist | 1067 Twining Dr, Barksdale Afb, LA 71110-2486 | 2018-06-12 |
1568950749 | James Bryant Capers | Dentist | 1067 Twining Dr, Barksdale Afb, LA 71110-2486 | 2018-04-24 |
1013378785 | Alexandra Egentowich | Dentist | 1067 Twining Dr, Barksdale Afb, LA 71110-2486 | 2016-03-09 |
1427457563 | Jonathan Snow | Dentist | 1067 Twining Dr, Barksdale Afb, LA 71110-2486 | 2014-08-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275029704 | Melissa Nicole Ratliff | Dentist | 234 Curtiss Rd, Barksdale Afb, LA 71110 | 2018-07-09 |
1174010268 | Jeffrey M Van Ness | Student in an Organized Health Care Education/Training Program | Air Force Base Dentist Clinic, Twining Drive, Barksdale Afb, LA 71110 | 2018-04-16 |
1538577028 | Kevin Adams | Dentist | 234 Curtiss Road, Barksdale Afb, LA 71110 | 2014-07-28 |
1881908960 | Maria T Kalmantis | Pediatrics | University Hospital Heraklion, Heraklion, CRETE 71110 | 2010-08-02 |
1992931539 | Jonathan Schulze | Dentist | 40 Barksdale Blvd, Barksdale Afb, Apo, AA 71110 | 2009-06-10 |
1649405846 | Sylvia Jean Wimberly | Social Worker | 243 Curtis Road, Bldg. 4546, Suite 100, Barksdale Afb, LA 71110 | 2009-05-18 |
1730313602 | Brian W Signal | Military Health Care Provider | 243 Cutiss Rd, 2 Mdg, Barksdale Afb, LA 71110 | 2009-05-07 |
1720298425 | Hap House | Day Training, Developmentally Disabled Services | 244 Turner Ave., Barksdaleafb, LA 71110 | 2007-05-23 |
1326197435 | Gigi Briones Russel Frost | Dental Hygienist | 1067 Twining Dr., Barksdale Afb, LA 71110 | 2007-01-09 |
1619034824 | Lakesha Wilson | Dental Hygienist | 1067 Twinning Dr., Bossier, LA 71110 | 2007-01-03 |
Find all providers in zip 71110 |
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 |
---|---|---|---|---|
1326197435 | Gigi Briones Russel Frost | Dental Hygienist | 1067 Twining Dr., Barksdale Afb, LA 71110 | 2007-01-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952806986 | Brenda Moore | Dental Hygienist | 7223 Mississippi Ave Building 2157, Fort Polk, LA 71459 | 2018-03-30 |
1316498322 | Jaysie Hebert | Dental Hygienist | 114 Friend St, New Iberia, LA 70563-1316 | 2016-10-14 |
1346691888 | Joy Martin | Dental Hygienist | 7223 Mississippi Avenue, Fort Polk, LA 71459 | 2016-06-27 |
1447628235 | Julia Wroten Terral | Dental Hygienist | 5454 Cypress St., West Monroe, LA 71291 | 2015-09-10 |
1295175750 | Winn Community Health Center, Inc. | Dental Hygienist | 425 W Lafayette St, Winnfield, LA 71483-3463 | 2013-06-28 |
1619034824 | Lakesha Wilson | Dental Hygienist | 1067 Twinning Dr., Bossier, LA 71110 | 2007-01-03 |
1437769817 | Felicia Ardell Posey | Dental Hygienist | 200 N Thomas Dr Ste 14, Shreveport, LA 71107-6555 | 2020-07-31 |
1669906251 | Diedra Brewer-hohensee | Dental Hygienist | 1100 Florida Ave, New Orleans, LA 70119-2715 | 2017-04-20 |
1184076820 | Patrick Muncy | Dental Hygienist | 7223 Mississippi Avenue, Fort Polk, LA 71459 | 2016-07-06 |
1427409945 | Kim Edwards | Dental Hygienist | 7223 Mississippi Avenue, Fort Polk, LA 71459 | 2016-06-27 |
Find all providers with the same taxonomy |
City | BARKSDALE AFB |
Zip Code | 71110 |
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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.