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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 126800000X | Dental Assistant | Dental Providers |
Street Address |
150 AMBERWOOD DR |
City | FORT STEWART |
State | GA |
Zip Code | 31315-1780 |
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 Code | 126800000X |
Grouping | Dental Providers |
Classification | Dental Assistant |
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 |
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 |
City | FORT STEWART |
Zip Code | 31315 |
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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.