MRS. DELOISE S MATOS (NPI# 1588991699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588991699 |
| Entity Type | Individual |
| Full Name | MRS. DELOISE S MATOS |
| Credential | RDH |
| Practice Address |
6540 Clinton Rd Stedman NC 28391-8846 |
| Mailing Address |
Po Box 368 Stedman NC 28391-0368 |
| Practice Telephone | 9104833150 |
| Practice Fax Number | 9104832845 |
| Mailing Telephone | 9104833150 |
| Mailing Fax Number | 9104832845 |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2009-11-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 5535 | NC | Dental Providers |
| Street Address |
6540 CLINTON RD |
| City | STEDMAN |
| State | NC |
| Zip Code | 28391-8846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063479830 | Catherine Bonita Evans | Dentist | 6540 Clinton Rd, Stedman, NC 28391-8846 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184742785 | Sandhills Healthcare Services, Inc. | Home Health | 7233 Clinton Rd, Stedman, NC 28391 | 2007-03-26 |
| 1487789277 | Leah Baker Workman | Chiropractor | 5183 Clinton Road, Suite 101, Stedman, NC 28391 | 2007-02-22 |
| 1205974219 | Jane Sharpe Johnson | Physician Assistant | 7513 Highway 24 and Clinton Rd, Stedman, NC 28391 | 2007-02-02 |
| 1689170037 | Willie Kay Mcduffie | Registered Nurse | 114 Forte Rd, Stedman, NC 28391 | 2018-04-04 |
| 1194844498 | Stedman Family Clinic, Pllc | Physician Assistant | 7513 Clinton Rd., Stedman, NC 28391-0358 | 2007-03-28 |
| 1841663325 | Cheryl Belden | Registered Nurse | 430 Fred Hall Rd, Stedman, NC 28391-8410 | 2015-11-05 |
| 1740283001 | Jessica Tucker | Family Medicine | 114 Forte Rd, Stedman, NC 28391-8522 | 2005-05-31 |
| 1962016485 | Wanda Dorene Fields | Nurse Practitioner | 114 Forte Rd, Stedman, NC 28391-8522 | 2020-09-02 |
| 1669811626 | Wesley James Greenwood | Family Medicine | 114 Forte Rd, Stedman, NC 28391-8522 | 2013-06-22 |
| 1871888024 | Tanya J Chew | Physician Assistant | 114 Forte Rd, Stedman, NC 28391-8522 | 2011-06-16 |
| Find all providers in zip 28391 | ||||
| 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 |
|---|---|---|---|---|
| 1356950612 | Carla Marie Lewis | Dental Hygienist | 1319 Nc 210, Sneads Ferry, NC 28460 | 2020-07-23 |
| 1760015820 | Lisa Ann Soltani | Dental Hygienist | 1664 Weeksville Rd Bldg 128, Elizabeth City, NC 27909-6701 | 2020-02-18 |
| 1568003093 | Patricia Elizabeth Anderson | Dental Hygienist | 3718 Gruber Rd Bldg H, Fort Bragg, NC 28310-8934 | 2019-10-07 |
| 1184276248 | Chandra Heintzeman | Dental Hygienist | 3049 N Kilchattan Dr, Fayetteville, NC 28306-4653 | 2019-07-09 |
| 1225695273 | Breona Lister | Dental Hygienist | 38 17 Gruber Rd, Fort Bragg, NC 28303 | 2019-05-24 |
| 1427615046 | Rebecca Marie Perez | Dental Hygienist | 7901 Twin Oak Ct, Raleigh, NC 27615-4856 | 2019-05-20 |
| 1114488319 | Kimberly Pearson | Dental Hygienist | 2313 Murchison Rd, Fayetteville, NC 28301-3517 | 2019-03-29 |
| 1588170187 | Tammy Cauthen-crowder | Dental Hygienist | 205 Old Larkspur Way, Chapel Hill, NC 27516-3416 | 2017-12-18 |
| 1396282273 | Karen Thomas | Dental Hygienist | 3004 Mount Vernon Church Rd, Raleigh, NC 27613-7406 | 2017-01-30 |
| 1780126987 | Rhonda Walker | Dental Hygienist | 1013 Potomac Rd, Indian Trail, NC 28079-8489 | 2016-11-06 |
| Find all providers with the same taxonomy | ||||
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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.