MRS. BOBBI RAE EMMONS


Address: 4727 Saint Antoine St, Suite 408, Detroit, MI 48201-1461
Phone: 3138337309

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist 2902011940 MI Dental Providers

Office Location

Street Address 4727 SAINT ANTOINE ST
SUITE 408
City DETROIT
State MI
Zip Code 48201-1461

Providers in the same location

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
Find all providers in the same location

Providers in the same zip code

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
Find all providers in zip 48201

Taxonomy Information

Taxonomy Code 124Q00000X
Grouping Dental Providers
Classification Dental Hygienist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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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Competitor

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City DETROIT
Zip Code 48201

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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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