JENNIFER LOUISE GOUGH


Address: 5720 1st Ave S, Birmingham, AL 35212-2522
Phone: 2053809455

JENNIFER LOUISE GOUGH (NPI# 1609474014) 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) 1609474014
Entity Type Individual
Full Name JENNIFER LOUISE GOUGH
Credential RDH
Practice Address 5720 1st Ave S
Birmingham
AL 35212-2522
Mailing Address 113 Knoll Crest Dr
Birmingham
AL 35209-6911
Practice Telephone 2053809455
Mailing Telephone 2059023055
Enumeration Date 2020-10-16
Last Update Date 2020-10-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist 8900 AL Dental Providers

Office Location

Street Address 5720 1ST AVE S
City BIRMINGHAM
State AL
Zip Code 35212-2522

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316914617 Mary Holden Jones Pediatrics 5720 1st Ave S, Birmingham, AL 35212-2522 2006-03-06
1083226179 Juliana Miller Hodges Registered Nurse 5720 1st Ave S, Birmingham, AL 35212-2522 2020-08-19
1821612029 Brittany N Schoen Nurse Practitioner 5720 1st Ave S, Birmingham, AL 35212-2522 2020-06-03
1871117341 Jessica Ramos Family Medicine 5720 1st Ave S, Birmingham, AL 35212-2522 2020-06-01
1972098911 Elyse Katherine Dengler Dentist 5720 1st Ave S, Birmingham, AL 35212-2522 2018-06-22
1679081277 Brittney Wilder Harris Counselor 5720 1st Ave S, Birmingham, AL 35212-2522 2018-01-17
1063943777 Cherie Salisbury Student in an Organized Health Care Education/Training Program 5720 1st Ave S, Birmingham, AL 35212-2522 2017-03-23
1104362912 Anna Victoria Musgraves Nurse Practitioner 5720 1st Ave S, Birmingham, AL 35212-2522 2017-01-18
1760853303 Stephanie Nicole Haas Clinical Nurse Specialist 5720 1st Ave S, Birmingham, AL 35212-2522 2015-10-08
1972989770 Jordan Wulz Pharmacist 5720 1st Ave S, Birmingham, AL 35212 2015-08-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992200448 Ford's Family Dentistry Dentist 6 61st Street North, Birmingham, AL 35212 2018-03-27
1821347766 Belynda Jo Adams Nurse Practitioner 6869 Fifth Avenue South, Hillcrest Behavioral Health Services, Birmingham, AL 35212 2012-09-06
1487914198 Elaine Frances Sides Dentist 5720 First Avenue South, Birmingham, Birmingham, AL 35212 2012-05-29
1043460835 Crossroads To Intervention, Inc Community/Behavioral Health 5601 1st Avenue North, Suite 107, Birmingham, AL 35212 2008-09-29
1265603823 Benjamin D. Williams Dmd Pa Dentist 100 57th St So, Birmingham, AL 35212 2008-03-21
1770907941 Ryan Richmond General Practice 6000 West Highway 98, Pensacola, FL 35212 2014-02-09
1447287800 Hc Partnership Psychiatric Residential Treatment Facility 6869 5th Avenue South, Birmingham, AL 35212 2006-06-28
1265621809 Shannon Maureen Hartley Psychologist 6869 5th Ave South, Birmingham, AL 35212-1866 2007-10-19
1891800330 Delicia D Harvey Counselor 6869 5th Ave S, Birmingham, AL 35212-1866 2006-08-21
1760439590 Hc Parternership Clinic/Center 6869 5th Avenue South, Birmingham, AL 35212-1866 2006-05-27
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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
1215368709 Heather O'hern Dental Hygienist 716 32nd St S, Birmingham, AL 35233-3500 2013-12-09
1699101881 Lauren Hand Dental Hygienist 716 32nd St S, Birmingham, AL 35233-3500 2013-09-19
1528494721 Malea Knight Sloan Dental Hygienist 716 32nd St S, Birmingham, AL 35233-3500 2013-09-19
1346676533 Jessica Posey Dental Hygienist 716 32nd St S, Birmingham, AL 35233-3500 2013-09-19
1609202803 Amanda Muncher Dental Hygienist 716 32nd St S, Birmingham, AL 35233-3500 2013-09-19
1710046685 Casey Hayes Dental Hygienist 3200 27th St N, Birmingham, AL 35207-4554 2006-12-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1316576986 Victoria Martinec Dental Hygienist 3732 Us Hwy 280, Phenix City, AL 36867 2020-04-06
1225535388 Rhonda Lewis Wesolek Dental Hygienist Bldg 4405, Innkeeper Street, Fort Rucker, AL 36362 2018-04-06
1750730958 Teresa Morgan Knighten Dental Hygienist 4405 Innkeepers St, Fort Rucker, AL 36362 2016-06-08
1336489103 Joseph Kyle Donaghey,dmd,llc Dental Hygienist 836 North Dean Road, Auburn, AL 36830 2013-02-15
1275775199 Cheri G Ellison Dental Hygienist 7052 Patrick Rd, Citronelle, AL 36522-5145 2009-03-25
1710153747 Tampa Louise Meadows Sykora Dental Hygienist Us Coast Guard Sector South Broad St, Mobile, AL 36615 2008-04-30
1295852226 Ericka Vanderpeyl Lyman Dental Hygienist 136 Winterhaven Dr, Alabaster, AL 35007-2108 2007-03-23
1609846971 Gillette Dental Group, PC Dental Hygienist 196 Rolling Hill Dr, Daphne, AL 36526-7808 2006-01-26
1891313813 Veronica Michelle Bryant Dental Hygienist 2400 Hospital Rd, Tuskegee, AL 36083-5001 2020-07-07
1942828975 Lakisha Wennell Ross Dental Hygienist 2400 Hospital Rd, Tuskegee, AL 36083-5001 2020-07-07
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Competitor

Search similar providers

City BIRMINGHAM
Zip Code 35212

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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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