MRS. AUTUMN JEAN HALEY


Address: 150 Amberwood Dr, Fort Stewart, GA 31315-1780
Phone: 9703104629

MRS. AUTUMN JEAN HALEY (NPI# 1497193494) 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) 1497193494
Entity Type Individual
Full Name MRS. AUTUMN JEAN HALEY
Other Name MISS AUTUMN JEAN RICHARDS
Credential DENTAL ASSISTANT
Practice Address 150 Amberwood Dr
Fort Stewart
GA 31315-1780
Practice Telephone 9703104629
Mailing Telephone 9703104629
Enumeration Date 2013-06-12
Last Update Date 2013-06-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

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

Office Location

Street Address 150 AMBERWOOD DR
City FORT STEWART
State GA
Zip Code 31315-1780

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588188791 Nadia E Jeter Social Worker 140 Skyland Spruce Dr, Fort Stewart, GA 31315 2017-07-29
1740739358 Graham Taylor Physician Assistant 8435 Vanguard Rd., Fort Stewart, GA 31315 2016-09-23
1205289865 Glenda Ann Reed-withers Dental Hygienist 343 Warrior Road Building 2115, Fort Stewart, GA 31315 2016-07-19
1275940686 Tarhonda Leah Ingram Dentist 112 Vilseck Road, Bldg. 419-2, Ft. Stewart, GA 31315 2014-07-17
1053668830 Lee Joshua Martin Dentist 112 Vilseck Rd, Fort Stewart, GA 31315 2012-08-10
1497866248 Henry J Braner Physician Assistant 16th Street Building 13514, Youth Challange Academy, Ft Stewart, GA 31315 2006-08-31
1215981352 Harry Nick Bobotis Dentist 112 Vilseck Road, Bldg 419-2, Fort Stewart, GA 31315 2006-05-22
1033665393 Christopher David Johnson Specialist/Technologist, Other 1061 Harmon Ave, Fort Stewart, GA 31315 2016-08-28
1760886410 Juliann Roman Emergency Medical Technician, Basic 1061 Harmon Ave, Fort Stewart, GA 31315 2014-10-09
1760754485 Angelica Cecilia Kjonnerod Physician Assistant 192 Lindquist Road, Bldg 412, Fort Stewart, GA 31315 2012-01-27
Find all providers in zip 31315

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
1548612088 Adrian Cuthbert Dental Assistant 305 Vanguard Road, Bldg 8435, Fort Stewart, GA 31314 2016-07-08
1841642386 Beverly Lynn Berry Dental Assistant 306 Vanguard Road Bldg 8435, Fort Stewart, GA 31314 2016-07-08
1740630060 Anjanette Nicole' Brown Dental Assistant 706 Warriors Rd, Building 2115, Fort Stewart, GA 31314 2016-06-17
1629548581 Raymond Wilhelm Dental Assistant 351 W 6th Street, Fort Stewart, GA 31314 2018-12-04
1720556343 Savannah Mathis Dental Assistant 351 W 6th Street, Bldg 440, Fort Stewart, GA 31314 2018-11-13
1053889667 Aliyah Wall Dental Assistant 351 W 6th Street, Bldg 440, Fort Stewart, GA 31314 2018-11-13
1891276184 Lorn Regan Thomas Dental Assistant 351 W 6th Street, Fort Stewart, GA 31314 2018-08-24
1962999342 James Glover Dental Assistant Us Army Dental Health Activity, Fort Stewart, NY 31314 2018-04-20
1154846954 Felix Bermudezmartinez Dental Assistant 1061 Harmon Ave, Fort Stewart, GA 31314-5641 2017-08-14
1861844193 Debra Ann Bohannon Dental Assistant 1061 Harmon Ave, Fort Stewart, GA 31314-5641 2016-07-11
Find all providers in FORT STEWART

Competitor

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City FORT STEWART
Zip Code 31315

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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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