MISS ROSE A MALKOVICH


Address: 3657 Minnehaha Ave, Minneapolis, MN 55406-2628
Phone: 6127211689

MISS ROSE A MALKOVICH (NPI# 1497061766) 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) 1497061766
Entity Type Individual
Full Name MISS ROSE A MALKOVICH
Other Name MRS. ROSE A LEE
Credential CLDA
Practice Address 3657 Minnehaha Ave
Minneapolis
MN 55406-2628
Practice Telephone 6127211689
Mailing Telephone 6127211689
Enumeration Date 2010-08-25
Last Update Date 2010-08-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 126800000X Dental Assistant A4520 MN Dental Providers

Office Location

Street Address 3657 MINNEHAHA AVE
City MINNEAPOLIS
State MN
Zip Code 55406-2628

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NPI Name Taxonomy Address Enumeration
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1194290593 Noelle Therese Wolf Counselor 2637 27th Ave S # 229, Minneapolis, MN 55406 2018-10-11
1255819819 Ayan Osman Ali Behavior Technician 3355 Haiwatha Ave Suite 100, Minneapolis, MN 55406 2018-08-04
1881188597 Lydia Joy Allison Massage Therapist 2933 29th Ave. S., Minneapolis, MN 55406 2018-06-15
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1578082798 Capitol Cafe LLC Home Delivered Meals 2417 E Franklin Ave, Capitol Cafe, Minneapolis, MN 55406 2017-09-19
1851823942 Safia Abdulkadir Mohamud Contractor 2740 Minnehaha Ave Suit 100, Minneapolis, MN 55406 2017-03-29
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Taxonomy Information

Taxonomy Code 126800000X
Grouping Dental Providers
Classification Dental Assistant

Taxonomy Definition

An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant 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
1255565966 Ismail Hersi Dental Assistant 2801 Park Ave Apt B5, Minneapolis, MN 55407-1330 2009-05-08
1851784854 Kristine Workman Dental Assistant 1 Veterans Dr, Minneapolis, MN 55417-2309 2015-03-15
1649663618 Amanda Reinsbach Dental Assistant 1 Veterans Dr, Minneapolis, MN 55417-2309 2015-03-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1952824948 Victoriya Lynn Lemke Dental Assistant 925 Highway 55 Ste 202, Hastings, MN 55033-3736 2017-07-21
1376798173 Jenny Kohler Dental Assistant 1407 6th St S, Stillwater, MN 55082-5707 2008-11-20
1104383611 Heather Winters Dental Assistant 6980 Fairview Rd, Baxter, MN 56425-7836 2019-02-21
1477010981 Laura Carlson Dental Assistant 6980 Fairview Rd, Baxter, MN 56425-7836 2019-02-21
1154855666 Michelle O'connell Dental Assistant 9950 Valley Creek Rd, Woodbury, MN 55125-4883 2017-04-12
1508305731 Joanne Eileen Wright Dental Assistant 30 7th St E, #101, Saint Paul, MN 55101-4914 2017-02-21
1881039469 Jill Marie Thooft Dental Assistant 607 W Main St Ste 200, Marshall, MN 56258-3171 2013-05-08
1447516851 Megan Meyer Dental Assistant 1670 Beam Ave, #204, Maplewood, MN 55109-1201 2012-04-10
1992077242 Brandi Lee Tweeter Dental Assistant 315 N 1st St, Montevideo, MN 56265-1405 2012-02-02
1730498478 Lisa A Rosenau Dental Assistant 3632 10th Ln Nw, Rochester, MN 55901-7032 2010-09-29
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Competitor

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City MINNEAPOLIS
Zip Code 55406

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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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