MRS. BOBBI RAE EMMONS (NPI# 1558794594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558794594 |
| Entity Type | Individual |
| Full Name | MRS. BOBBI RAE EMMONS |
| Credential | RDH |
| Practice Address |
4727 Saint Antoine St Suite 408 Detroit MI 48201-1461 |
| Mailing Address |
7040 Reed Dr Waterford MI 48327-1579 |
| Practice Telephone | 3138337309 |
| Mailing Telephone | 2483966551 |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2013-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 2902011940 | MI | Dental Providers |
| Street Address |
4727 SAINT ANTOINE ST SUITE 408 |
| City | DETROIT |
| State | MI |
| Zip Code | 48201-1461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790773091 | Jeffrey Gillum | Obstetrics & Gynecology | 4727 Saint Antoine St, Suite 210, Detroit, MI 48201-1461 | 2005-10-11 |
| 1083146906 | S Madani Md PC | Pediatrics | 4727 Saint Antoine St, Suite 402, Detroit, MI 48201-1461 | 2017-03-30 |
| 1750737821 | Selice Jenae Zooper | Dental Hygienist | 4727 Saint Antoine St, Suite 408, Detroit, MI 48201-1461 | 2016-05-09 |
| 1275989352 | Mya Weeks | Dental Hygienist | 4727 Saint Antoine St, Suite 408, Detroit, MI 48201-1461 | 2016-05-09 |
| 1386098663 | Lucas Perry Dental Group | Clinic/Center | 4727 Saint Antoine St, Suite 408, Detroit, MI 48201-1461 | 2016-04-22 |
| 1558769836 | Global Health Ipa | Family Medicine | 4727 Saint Antoine St, Ste 202, Detroit, MI 48201-1461 | 2014-12-18 |
| 1265841977 | Latonya Waller | Dentist | 4727 Saint Antoine St, Detroit, MI 48201-1461 | 2014-08-06 |
| 1902213689 | Hutzel Womens Health Specialists | Obstetrics & Gynecology | 4727 Saint Antoine St, Suite 304, Detroit, MI 48201-1461 | 2014-07-15 |
| 1093134348 | Jackson Health Services | Family Medicine | 4727 Saint Antoine St, Ste 202, Detroit, MI 48201-1461 | 2014-04-15 |
| 1093145377 | Metro Womens Health Pllc | Obstetrics & Gynecology | 4727 Saint Antoine St, Suite 304, Detroit, MI 48201-1461 | 2013-11-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
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| 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 |
|---|---|---|---|---|
| 1952941825 | Ericka Melissa Smith | Dental Hygienist | 14577 Rosemont Ave, Detroit, MI 48223-2338 | 2020-01-08 |
| 1174041990 | Doris D Ogburn | Dental Hygienist | 4727 St Antoine Street, Suite 408, Detroit, MI 48201 | 2017-08-31 |
| 1902338635 | Armanda Hendricks | Dental Hygienist | 3646 Mt Elliott St, Detroit, MI 48207 | 2017-03-31 |
| 1760857387 | Cheryl Lynn Hewison | Dental Hygienist | 4727 St. Antoine St., Ste 408, Detroit, MI 48201 | 2015-12-08 |
| 1760876270 | Angela Bernard | Dental Hygienist | 14164 Abington Ave, Detroit, MI 48227-1304 | 2015-03-23 |
| 1932502077 | Keisha Denise Parks | Dental Hygienist | 5379 Crane St, Detroit, MI 48213-2918 | 2014-10-03 |
| 1053748889 | Dental Hygiene Visiting Services | Dental Hygienist | 38 Adelaide St, Detroit, MI 48201-3111 | 2013-10-12 |
| 1942567722 | Jaclyn Smith | Dental Hygienist | 19173 Santa Barbara Dr, Detroit, MI 48221-1624 | 2012-04-18 |
| 1023399607 | Sabrina Latrice Basley | Dental Hygienist | 7633 E Jefferson Ave Ste 70, Detroit, MI 48214-3730 | 2011-09-08 |
| 1962704668 | Sheila Inez Upshaw-flowers | Dental Hygienist | 18616 W. Mcnichols, Your Family Dentist, Detroit, MI 48219 | 2010-12-01 |
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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.