CYNTHIA NICOLE CHENNAULT


Address: 669 Agency Main Street, Harlem, MT 59526
Phone: 4063533168

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist 15149 TX Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX LICENSE 15149 01

Office Location

Street Address 669 AGENCY MAIN STREET
City HARLEM
State MT
Zip Code 59526

Providers in the same zip code

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
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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
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

Providers in the same taxonomy and state

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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Competitor

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City HARLEM
Zip Code 59526

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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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