MRS. LESLIE ANN PANCHECK (NPI# 1629465372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629465372 |
| Entity Type | Individual |
| Full Name | MRS. LESLIE ANN PANCHECK |
| Credential | RDH |
| Practice Address |
806 Tuuri Pl Flint MI 48503-2465 |
| Practice Telephone | 8107687583 |
| Practice Fax Number | 8107687584 |
| Mailing Telephone | 8107687583 |
| Mailing Fax Number | 8107687584 |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2015-04-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 2902012568 | MI | Dental Providers |
| Street Address |
806 TUURI PL |
| City | FLINT |
| State | MI |
| Zip Code | 48503-2465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598760795 | Mott Children's Health Center | Clinic/Center | 806 Tuuri Pl, Flint, MI 48503-2465 | 2005-06-15 |
| 1326648973 | Melanie Hunter | Nurse Practitioner | 806 Tuuri Pl, Flint, MI 48503-2465 | 2020-10-31 |
| 1932707122 | Marcus Batson | Social Worker | 806 Tuuri Pl, Flint, MI 48503-2465 | 2020-10-12 |
| 1184238099 | Jennifer O'brien | Social Worker | 806 Tuuri Pl, Flint, MI 48503-2465 | 2020-09-08 |
| 1952933681 | Marc David Rosin | Social Worker | 806 Tuuri Pl, Flint, MI 48503-2465 | 2020-02-11 |
| 1851937734 | Ean Williams | Peer Specialist | 806 Tuuri Pl, Flint, MI 48503-2465 | 2019-11-26 |
| 1922643436 | Parul Gupta | Psychologist | 806 Tuuri Pl, Flint, MI 48503-2465 | 2019-11-08 |
| 1568004554 | Shaquita Latice Harrison | Social Worker | 806 Tuuri Pl, Flint, MI 48503-2465 | 2019-10-11 |
| 1952954257 | Jordan Nicole Groover | Social Worker | 806 Tuuri Pl, Flint, MI 48503-2465 | 2019-07-17 |
| 1245797919 | Grace Campbell | Social Worker | 806 Tuuri Pl, Flint, MI 48503-2465 | 2019-02-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457971640 | Flint Odyssey House Inc. | Community/Behavioral Health | 1219 Martin Luther King Avenue, Flint, MI 48503 | 2020-04-17 |
| 1891265476 | Mary Margaret Woodruff | Health Educator | 411 E. Third St Suite 2, Flint, MI 48503 | 2018-11-27 |
| 1669942223 | Donna Jean Phelps | Behavior Technician | 2284 S Ballenger Highway, Flint, MI 48503 | 2018-11-27 |
| 1588150601 | Dayonna Scott | Social Worker | Hope Network, 2830 Corunna Rd, Flint, MI 48503 | 2018-07-02 |
| 1801388020 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2284 S Ballenger Hwy Ste F, Flint, MI 48503 | 2018-06-04 |
| 1134610504 | Swathi Gorle | Student in an Organized Health Care Education/Training Program | Hurley Medical Center, 1 Hurley Plaza, Flint, MI 48503 | 2018-05-22 |
| 1881128049 | Kara Garr | Registered Nurse | 805 Tuuri Pl, Flint, MI 48503 | 2017-04-14 |
| 1518405638 | Thomasinia Terrell | Peer Specialist | 422 W Fourth Ave, Flint, MI 48503 | 2017-02-09 |
| 1790231041 | Roslyn Boyce | Technician, Other | 2213 E. Court Street, Flint, MI 48503 | 2016-08-28 |
| 1689120818 | Yasmine Elhefnawy | Student in an Organized Health Care Education/Training Program | One Hurley Plaza 3d West, Flint, MI 48503 | 2016-08-28 |
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| 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 |
|---|---|---|---|---|
| 1720587710 | Cassandra Socia | Dental Hygienist | G3222 Beecher Road, Flint, MI 48532 | 2018-02-06 |
| 1871042960 | Patricia Giltrop | Dental Hygienist | 5399 N. Saginaw Street, Flint, MI 48505 | 2016-09-29 |
| 1710513007 | Anne Marie Moore | Dental Hygienist | G5399 N Saginaw St, Flint, MI 48505-1536 | 2020-03-18 |
| 1538632740 | Darren Troy Moore | Dental Hygienist | 806 Tuuri Pl, Flint, MI 48503-2465 | 2019-01-10 |
| 1265905855 | Michelle Pattan | Dental Hygienist | 806 Tuuri Pl, Flint, MI 48503-2465 | 2019-01-07 |
| 1508365594 | Courtney Martinski | Dental Hygienist | G3222 Beecher Rd, Flint, MI 48532-3614 | 2018-02-06 |
| 1003315094 | Jodell Denno | Dental Hygienist | G3222 Beecher Rd, Flint, MI 48532-3614 | 2018-02-06 |
| 1457850448 | Ashley Peterson | Dental Hygienist | G3222 Beecher Rd, Flint, MI 48532-3614 | 2018-02-06 |
| 1427557412 | Kristen Warington | Dental Hygienist | G3222 Beecher Rd, Flint, MI 48532-3614 | 2018-02-06 |
| 1467849109 | Lisa Ann Whitehead | Dental Hygienist | 806 Tuuri Pl, Flint, MI 48503-2465 | 2015-04-21 |
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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.