TINA MARIE KELLY (NPI# 1629577721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629577721 |
| Entity Type | Individual |
| Full Name | TINA MARIE KELLY |
| Credential | RDH |
| Practice Address |
427 N Michigan Ave Saginaw MI 48602-4314 |
| Practice Telephone | 9897550991 |
| Practice Fax Number | 9897550001 |
| Mailing Telephone | 9897550991 |
| Mailing Fax Number | 9897550001 |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2018-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 2902015161 | MI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295364115 | Tina M. Kelly | Behavior Technician | 145 Moreland Ave, Waterbury, CT 06705-2928 | 2020-04-02 |
| 1073066908 | Tina Kelly | Occupational Therapist | 21 Brittany Blvd, Marlton, NJ 08053-5513 | 2016-07-27 |
| 1407219355 | Tina Marie Kelly | Marriage & Family Therapist | 1144 Sonoma Ave, Suite 104, Santa Rosa, CA 95405-4812 | 2016-03-29 |
| 1518253251 | Tina Marie Kelly | Nurse Practitioner | 433 Copperfield Blvd Ne, Concord, NC 28025-2405 | 2011-06-21 |
| 1104014455 | Tina Vu Kelly | Optometrist | 3223 Duke St, Suite B3, Alexandria, VA 22314-4586 | 2007-10-11 |
| Street Address |
427 N MICHIGAN AVE |
| City | SAGINAW |
| State | MI |
| Zip Code | 48602-4314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225174774 | Thomas C Dawson | Dentist | 427 N Michigan Ave, Saginaw, MI 48602-4314 | 2007-01-30 |
| 1487148813 | Ritish Chhabra | Dentist | 427 N Michigan Ave, Saginaw, MI 48602-4314 | 2018-06-19 |
| 1295234151 | Caitlin Marie Guldenzoph | Dental Hygienist | 427 N Michigan Ave, Saginaw, MI 48602-4314 | 2018-02-06 |
| 1134628209 | Cheri L Robar | Dental Hygienist | 427 N Michigan Ave, Saginaw, MI 48602-4314 | 2018-02-05 |
| 1285133355 | Kelly L Kocsis | Dental Hygienist | 427 N Michigan Ave, Saginaw, MI 48602-4314 | 2018-02-05 |
| 1558860635 | Barbara Luna-english | Dental Hygienist | 427 N Michigan Ave, Saginaw, MI 48602-4314 | 2018-02-05 |
| 1114426293 | Shawna Lynn Fedewa | Dental Hygienist | 427 N Michigan Ave, Saginaw, MI 48602-4314 | 2018-02-05 |
| 1801395983 | Dale Williams Sutfin | Dental Hygienist | 427 N Michigan Ave, Saginaw, MI 48602-4314 | 2018-02-05 |
| 1518466697 | Deborah Tomandl Dawson | Dental Hygienist | 427 N Michigan Ave, Saginaw, MI 48602-4314 | 2018-02-05 |
| 1518228998 | Ross Alexander Reid | Dentist | 427 N Michigan Ave, Saginaw, MI 48602-4314 | 2012-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326665654 | Samuel R Olson | Student in an Organized Health Care Education/Training Program | Covenent Healthcare Cooper, 700 Cooper Avenue, Saginaw, MI 48602 | 2020-07-02 |
| 1871110726 | Quinn Murphy Ameel | Student in an Organized Health Care Education/Training Program | Cmed 1632 Stone St., Saginaw, MI 48602 | 2020-06-26 |
| 1730713322 | Abiola A Alaka | Student in an Organized Health Care Education/Training Program | 314 N Hamilton St, Saginaw, MI 48602 | 2020-02-24 |
| 1598235137 | Summer Dawn Broekhof | Speech-Language Pathologist | 515 N. Michigan, Saginaw, MI 48602 | 2018-11-27 |
| 1811486293 | Barbara Jean Hall | Physical Therapy Assistant | 500 S Hamilton, Saginaw, MI 48602 | 2018-05-01 |
| 1053808519 | Cst Counseling and Transitional Services Inc | Social Worker | 120 N Michigan Ave Ste 207, Saginaw, MI 48602 | 2018-04-19 |
| 1801325246 | Moregan Rose Lamarr | Social Worker | 304 South Niagara St, Saginaw, MI 48602 | 2017-06-08 |
| 1750818449 | Tamera Graham | Nurse Practitioner | 1447 N. Harrison St., Saginaw, MI 48602 | 2017-05-12 |
| 1831622109 | Brooke Vitale | Technician, Other | 1300 N. Michigan, Autism Plus, Saginaw, MI 48602 | 2017-04-04 |
| 1215387576 | Dorthia Eggleston | Specialist | 1203 Gratiot, Saginaw, MI 48602 | 2016-06-17 |
| Find all providers in zip 48602 | ||||
| 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 |
|---|---|---|---|---|
| 1013379106 | Rosemarie Martin | Dental Hygienist | 3654 Diamondale Dr E, Saginaw, MI 48601-5805 | 2016-03-28 |
| 1700163482 | Ruth Eileen Palecek | Dental Hygienist | 7545 Bear Trap Junction Rd, Saginaw, MN 55779-9672 | 2011-11-09 |
| 1295234151 | Caitlin Marie Guldenzoph | Dental Hygienist | 427 N Michigan Ave, Saginaw, MI 48602-4314 | 2018-02-06 |
| 1134628209 | Cheri L Robar | Dental Hygienist | 427 N Michigan Ave, Saginaw, MI 48602-4314 | 2018-02-05 |
| 1285133355 | Kelly L Kocsis | Dental Hygienist | 427 N Michigan Ave, Saginaw, MI 48602-4314 | 2018-02-05 |
| 1558860635 | Barbara Luna-english | Dental Hygienist | 427 N Michigan Ave, Saginaw, MI 48602-4314 | 2018-02-05 |
| 1114426293 | Shawna Lynn Fedewa | Dental Hygienist | 427 N Michigan Ave, Saginaw, MI 48602-4314 | 2018-02-05 |
| 1801395983 | Dale Williams Sutfin | Dental Hygienist | 427 N Michigan Ave, Saginaw, MI 48602-4314 | 2018-02-05 |
| 1518466697 | Deborah Tomandl Dawson | Dental Hygienist | 427 N Michigan Ave, Saginaw, MI 48602-4314 | 2018-02-05 |
| 1447772942 | Aaron Moore | Dental Hygienist | 501 Lapeer Ave, Saginaw, MI 48607-1203 | 2017-07-17 |
| Find all providers in SAGINAW | ||||
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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.