CLEON HENDERSON (NPI# 1629420294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629420294 |
| Entity Type | Individual |
| Full Name | CLEON HENDERSON |
| Practice Address |
8476 Simonds Street Ste 5700 Fort George G. Meade MD 20755 |
| Practice Telephone | 3016776122 |
| Practice Fax Number | 3016775710 |
| Mailing Telephone | 3016776122 |
| Mailing Fax Number | 3016775710 |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2016-07-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | Dental Providers |
| Street Address |
8476 SIMONDS STREET STE 5700 |
| City | FORT GEORGE G. MEADE |
| State | MD |
| Zip Code | 20755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073965588 | Laura Pierce | Dental Hygienist | 8476 Simonds Street, Ste 5700, Fort George G. Meade, MD 20755 | 2016-07-08 |
| 1134571656 | Melizabeth Padron | Dental Assistant | 8476 Simonds Street, Ste 5700, Fort George G. Meade, MD 20755 | 2016-07-08 |
| 1972955508 | Amber Doty | Dental Assistant | 8476 Simonds Street, Fort George G. Meade, MD 20755 | 2016-07-07 |
| 1225488984 | Diane J Creedon | Dental Hygienist | 8476 Simonds Street, Ste 5700, Fort George G. Meade, MD 20755 | 2016-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215451216 | Patrick Hoye | Dentist | 8472 Simonds Street, Epes Dental Clinic, Ft. Meade, MD 20755 | 2017-08-01 |
| 1982150561 | Martha Davis | Technician | 2553 Hartel St, Fort Meade, MD 20755 | 2016-09-01 |
| 1649725995 | Jaclyn Leith | Psychologist | 2479 5th St., Ft. Meade, MD 20755 | 2016-08-16 |
| 1548613417 | Catherine Geller | Dental Hygienist | 8476 Simonds St, Suite 5700, Fort George G. Meade, MD 20755 | 2016-07-15 |
| 1396194510 | Cristina Ribeiro | Dental Hygienist | 8476 Simond St, Suite 5700, Fort George G. Meade, MD 20755 | 2016-06-08 |
| 1508215765 | Nicole Ferris | Dental Hygienist | 8476 Simond St Ste 5700, Fort George G. Meade, MD 20755 | 2016-06-08 |
| 1487031548 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | Rose Street, Bldg 2799, Ft Meade, MD 20755 | 2015-04-28 |
| 1801206685 | Kimbrough Acc Military Mtf | Pharmacy | 2799 Rose Street, Ft Meade, MD 20755 | 2014-05-02 |
| 1578980744 | Claudia Goleburn | Psychologist | 2479 5th St, Ft Meade, MD 20755 | 2014-03-25 |
| 1093063158 | Michael Elsworth Yapp | Pharmacist | 24180 Llewellyn Avenue, Fort Meade, MD 20755 | 2012-08-21 |
| Find all providers in zip 20755 | ||||
| Taxonomy Code | 126800000X |
| Grouping | Dental Providers |
| Classification | Dental Assistant |
| An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134571656 | Melizabeth Padron | Dental Assistant | 8476 Simonds Street, Ste 5700, Fort George G. Meade, MD 20755 | 2016-07-08 |
| 1972955508 | Amber Doty | Dental Assistant | 8476 Simonds Street, Fort George G. Meade, MD 20755 | 2016-07-07 |
| 1083063242 | Valerie Beasley | Dental Assistant | 8476 Simond St Ste 5700, Fort George G. Meade, MD 20755 | 2016-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821375809 | Gangadhara Chandu | Dental Assistant | 400 Red Brook Blvd, Owings Mills, MD 21117-5172 | 2011-11-04 |
| 1922277532 | Laura Claudette Oyedokun | Dental Assistant | 3707 Lochearn Dr, Baltimore, MD 21207-6361 | 2008-02-27 |
| 1013518331 | Karina Madelline Morales Sandoval | Dental Assistant | 6455 Machine Street, Aberdeen Proving Ground, MD 21005 | 2020-11-03 |
| 1487296620 | Kelvin Bernard Albright Jr. | Dental Assistant | 6455 Machine Street, Apg, MD 21005 | 2019-10-09 |
| 1316397060 | Darlene E Kuroda | Dental Assistant | 8476 Simonds Street, Ste 5700, Fort George G Meade, MD 20755 | 2016-06-14 |
| City | FORT GEORGE G. MEADE |
| Zip Code | 20755 |
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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.