MS. VICKI SAN SOUCI (NPI# 1619915014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619915014 |
| Entity Type | Individual |
| Full Name | MS. VICKI SAN SOUCI |
| Credential | RDH |
| Practice Address |
323 W Alder St Missoula MT 59802-4123 |
| Practice Telephone | 4062584191 |
| Practice Fax Number | 4062584180 |
| Mailing Telephone | 4062584191 |
| Mailing Fax Number | 4062584180 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 793 | MT | Dental Providers |
| Street Address |
323 W ALDER ST |
| City | MISSOULA |
| State | MT |
| Zip Code | 59802-4123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922004316 | Joseph D Byington | Dentist | 323 W Alder St, Missoula, MT 59802-4123 | 2005-06-22 |
| 1851828453 | Sarah Ann Potts | Psychologist | 323 W Alder St, Missoula, MT 59802 | 2017-05-15 |
| 1356775217 | Susan Hunter Taylor | Dental Hygienist | 323 W Alder St, Missoula, MT 59802-4123 | 2013-08-28 |
| 1730513003 | Kerry J Haney | Pharmacist | 323 W Alder St, Missoula, MT 59802-4123 | 2013-08-22 |
| 1952615650 | Patrick Joseph Heaphy | Dentist | 323 W Alder St, Missoula, MT 59802-4123 | 2010-08-05 |
| 1003134867 | Lila Anne Erickson | Physician Assistant | 323 W Alder St, Missoula, MT 59802-4123 | 2010-05-04 |
| 1689906885 | Cory Benjamin Adams | Pharmacist | 323 W Alder St, Missoula, MT 59802-4123 | 2010-02-12 |
| 1649509506 | Winslow Lewis IIi | Physician Assistant | 323 W Alder St, Missoula, MT 59802-4123 | 2009-12-23 |
| 1003047960 | Kevin Matthew Chin | Family Medicine | 323 W Alder St, Missoula, MT 59802-4123 | 2009-07-27 |
| 1477712784 | Elizabeth D Paddock | Family Medicine | 323 W Alder St, Missoula, MT 59802-4123 | 2008-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945921 | Montana Endoscopy Center, Pllc | Clinic/Center | 1930 W Broadway, Ste B, Missoula, MT 59802 | 2020-06-08 |
| 1194364091 | Tommie Lynn Perusich | Nurse Practitioner | 1120 Cedar St., Missoula, MT 59802 | 2019-12-26 |
| 1386122752 | The Hope Health Alliance, Inc. | Case Management | 314 White House Ln, Missoula, MT 59802 | 2018-07-30 |
| 1881181444 | Carol Anne Lesser | Massage Therapist | 1918 Birch St, Missoula, MT 59802 | 2018-04-19 |
| 1528587581 | Missoula Aids Fund, Inc. | Clinic/Center | 1500 W. Broadway Suite A, Missoula, MT 59802 | 2017-09-11 |
| 1942740667 | Gabrielle Shulman | Counselor | 415 N Higgins Ave Ste 14, Missoula, MT 59802 | 2017-02-28 |
| 1053798736 | Endurance Physio | Clinic/Center | 214 E. Main St, Missoula, MT 59802 | 2015-05-01 |
| 1720481971 | Anna Golding | Counselor | 1325 Wyoming Street, Missoula, MONTANA 59802 | 2014-10-02 |
| 1003255803 | Jennifer Dawn Danielson | Speech-Language Pathologist | 2408 Duncan Drive, Missoula, MT 59802 | 2013-06-14 |
| 1437595725 | Partnership Health Center Inc | Clinic/Center | 1150 Sherwood St, Missoula, MT 59802 | 2013-05-14 |
| Find all providers in zip 59802 | ||||
| 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 |
|---|---|---|---|---|
| 1164986691 | Orianne Allison | Dental Hygienist | Curry Health Center 634 Eddy Ave, Missoula, MT 59812-0001 | 2019-01-29 |
| 1861916231 | Rachel Diane Hansen | Dental Hygienist | 2901 Brooks St Ste A1, Missoula, MT 59801-7723 | 2017-07-27 |
| 1780125799 | Bobbie Jo Klucewich | Dental Hygienist | 5202 Mainview Dr, Missoula, MT 59803-3120 | 2017-03-10 |
| 1134599574 | Karen Thomas | Dental Hygienist | 2419 Duncan Dr, Missoula, MT 59802-3155 | 2015-09-28 |
| 1992183081 | Jo Scandrett Persons | Dental Hygienist | 401 Railroad W St, Missoula, MT 59802-4109 | 2015-05-11 |
| 1376948125 | Carla Mccolly | Dental Hygienist | 1600 St Andrews Way, Missoula, MT 59808-8681 | 2014-10-22 |
| 1376956573 | Christine Armstrong | Dental Hygienist | 27 Columbine Ct, Missoula, MT 59802-3325 | 2014-06-04 |
| 1437490612 | Heidi Lynn Halverson | Dental Hygienist | 1710 Lenore Ct, Missoula, MT 59804-4723 | 2013-03-12 |
| 1790078319 | Julie Kubik | Dental Hygienist | 4620 Rattlesnake Dr, Missoula, MT 59802-3019 | 2011-05-17 |
| 1083839500 | Minnette Aldeen Read | Dental Hygienist | Curry Health Center Dental Clinic, 634 Eddy Ave, Missoula, MT 59812-1851 | 2007-04-17 |
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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.