CYNTHIA NICOLE CHENNAULT (NPI# 1629399423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629399423 |
Entity Type | Individual |
Full Name | CYNTHIA NICOLE CHENNAULT |
Credential | RDH |
Practice Address |
669 Agency Main Street Harlem MT 59526 |
Practice Telephone | 4063533168 |
Practice Fax Number | 4063533227 |
Mailing Telephone | 4063533168 |
Mailing Fax Number | 4063533227 |
Enumeration Date | 2010-06-15 |
Last Update Date | 2010-06-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | 15149 | TX | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | LICENSE | 15149 | 01 |
Street Address |
669 AGENCY MAIN STREET |
City | HARLEM |
State | MT |
Zip Code | 59526 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558917385 | Karen Marie Reevis I | Counselor | 112 Arena Ave, Harlem, MT 59526 | 2019-08-16 |
1528614351 | Linda M Azure | Counselor | 122 Arena Ave., Harlem, MT 59526 | 2019-08-16 |
1770144529 | Charlie Bear IIi | Counselor | 122 Arena Ave, Harlem, MT 59526 | 2019-06-24 |
1194998757 | Monte A Healy | Registered Nurse | 456 Grosventre Ave, Harlem, MT 59526 | 2008-04-03 |
1043410285 | Harlem School District | Local Education Agency (LEA) | 610 1st Ave Se, Harlem, MT 59526 | 2007-07-24 |
1376749176 | Antonella Bella Lanza | Dentist | Fort Belknap Indian Community, 656 Agency Main Street, Harlem, MT 59526 | 2007-06-27 |
1205038494 | Janet L Jansen | Spec/Tech, Pathology | 456 Groventre Ave, Harlem, MT 59526 | 2007-06-01 |
1295943710 | Irma Faye Skunkcap | Counselor | 656 Agency Main Street, Harlem, MT 59526 | 2007-05-18 |
1457567679 | Bonnie Rae Lankford | Technician, Pathology | 345 Gros Ventre Ave, Harlem, MT 59526 | 2007-05-15 |
1205041621 | Fort Belknap Indian Community Tribal Health | Psychologist | 656 Agency Main St, Harlem, MT 59526 | 2007-05-10 |
Find all providers in zip 59526 |
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 |
---|---|---|---|---|
1033678412 | Michael J Moore | Dental Hygienist | 669 Agency Main St, Harlem, MT 59526-9455 | 2019-03-15 |
1639293590 | Joseph Michael Shurina | Dental Hygienist | Rr 1 Box 67, Harlem, MT 59526-9705 | 2007-03-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538790142 | Melissa Ellen Kjos-peterson | Dental Hygienist | 206 Garland St, Kalispell, MT 59901-2509 | 2020-02-01 |
1114557501 | Clancy Ann Casey | Dental Hygienist | 3774 Joelle Dr, Helena, MT 59602-6102 | 2020-01-24 |
1598395733 | Carissa Lee-cossel Allen | Dental Hygienist | 465 Taylor Dr, Dillon, MT 59725-7104 | 2020-01-16 |
1487299855 | Into The Groove | Dental Hygienist | 4925 Foothill Rd, Butte, MT 59701-7047 | 2019-11-08 |
1710538228 | Eric Thomas Hill | Dental Hygienist | 203 Business Center Loop, Kalispell, MT 59901-6885 | 2019-09-25 |
1912557653 | Summor Kilgore | Dental Hygienist | 1099 Cowboy Way, Columbia Falls, MT 59912-9068 | 2019-09-15 |
1689228090 | Christel Ann Riitano | Dental Hygienist | 702 Harrison Ave, Helena, MT 59601-2615 | 2019-07-25 |
1164984399 | Nan'cee Neer-labbe | Dental Hygienist | 14555 Hellgate Lane, Clinton, MT 59825 | 2019-04-05 |
1881153286 | Jill Ranae Ferdina | Dental Hygienist | 415 4th Ave S, Wolf Point, MT 59201-1639 | 2019-03-15 |
1861958183 | Chanel Plasek | Dental Hygienist | 400 4th Ave W, Poplar, MT 59255-9455 | 2019-02-12 |
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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.