RICHALY LUCE (NPI# 1508115817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508115817 |
| Entity Type | Individual |
| Full Name | RICHALY LUCE |
| Practice Address |
424 S Monroe Ave Ste 106 Green Bay WI 54301-4054 |
| Practice Telephone | 9205440346 |
| Practice Fax Number | 9204898233 |
| Mailing Telephone | 9205440346 |
| Mailing Fax Number | 9204898233 |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2020-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 1003719 | WI | Dental Providers |
| N | 174400000X | Specialist | 703436 | CA | Other Service Providers |
| Street Address |
424 S MONROE AVE STE 106 |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54301-4054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861527863 | East Side Family Practice Sc | General Practice | 424 S Monroe Ave Ste 106, Green Bay, WI 54301-4054 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386102465 | Parc Village Dental, LLC | Dentist | 2805 Libal Street, Suite A, Green Bay, WI 54301 | 2019-03-07 |
| 1598229478 | Shaina Marie Conner | Registered Nurse | 835 S Vanburen St, Green Bay, WI 54301 | 2019-01-25 |
| 1093298960 | Brown County | Case Management | 111 N. Jefferson Street, Green Bay, WI 54301 | 2018-09-07 |
| 1639609928 | Frontline Healthcare LLC | Specialist/Technologist, Other | 2221 S. Webster Ave. Suite 270, Greenbay, WI 54301 | 2017-06-19 |
| 1992242606 | Charmaine Rimple | Counselor | 526 South Monroe Avenue, Green Bay, WI 54301 | 2017-01-20 |
| 1962944819 | Rebecca Lucille Reinbold | Registered Nurse | 917 Catherine Street, Green Bay, WI 54301 | 2016-11-09 |
| 1730635061 | Melissa Kristof | Specialist/Technologist, Other | 1821 Sounth Webster Ave., Green Bay, WI 54301 | 2016-08-28 |
| 1255709747 | Vivian Sweetheart Bishop-cook | Counselor | 2920 South Webster Ave, Green Bay, WI 54301 | 2015-09-14 |
| 1881079960 | Chelsi S Weber | Registered Nurse | 2300 Riverside Dr., Ste 204, Green Bay, WI 54301 | 2015-07-30 |
| 1962816371 | Joelle M Hesse | Counselor | 630 Cherry St., Green Bay, WI 54301 | 2014-06-13 |
| Find all providers in zip 54301 | ||||
| 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 |
|---|---|---|---|---|
| 1639786551 | Maggie Hall | Dental Hygienist | 2633 Development Dr. Ste 40, Green Bay, WI 54311 | 2020-09-24 |
| 1649727108 | Amanda Marie Mckeefry | Dental Hygienist | 2304 Lineville Rd, Suite 101, Green Bay, WI 54313 | 2016-09-01 |
| 1790810471 | Gwen Marie Beno | Dental Hygienist | 1711 Shawano, Green Bay, WI 54303 | 2007-02-22 |
| 1386779072 | Melissa Mary Johnson | Dental Hygienist | 1711 Shawno Ave, Green Bay, WI 54303 | 2007-02-22 |
| 1598890279 | Cynthia Linda Skaleski | Dental Hygienist | 1711 Shawano Avenue, Dental Arts Associates of Green Bay Ltd, Green Bay, WI 54303 | 2007-02-22 |
| 1760042048 | Jennifer Schroeder | Dental Hygienist | 424 S Monroe Ave, Green Bay, WI 54301-4054 | 2019-06-18 |
| 1467934851 | Alicia Nicole Gendron | Dental Hygienist | 2280 W Mason St, Green Bay, WI 54303-4707 | 2018-08-31 |
| 1104349703 | Jenifer Jo Zobro | Dental Hygienist | 2280 W Mason St, Green Bay, WI 54303-4707 | 2017-07-25 |
| 1154870228 | Melissa Ann Yeager | Dental Hygienist | 1931 Main St, Green Bay, WI 54302-3920 | 2016-09-29 |
| 1437608502 | Amy Jean Schowalter | Dental Hygienist | 1931 Main St, Green Bay, WI 54302-3920 | 2016-09-29 |
| Find all providers in GREEN BAY | ||||
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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.