TABITHA VOLLMER (NPI# 1639618325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639618325 |
| Entity Type | Individual |
| Full Name | TABITHA VOLLMER |
| Credential | RDH |
| Practice Address |
1701 W. Sunshine Street Suite Q Springfield MO 65807-2261 |
| Mailing Address |
1701 W Sunshine Suite Q Springfield MO 65807-2261 |
| Practice Telephone | 4175011048 |
| Practice Fax Number | 4175011661 |
| Mailing Telephone | 4175011048 |
| Mailing Fax Number | 4175011661 |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2017-02-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 2012022466 | MO | Dental Providers |
| N | 126800000X | Dental Assistant | 2016004422 | MO | Dental Providers |
| N | 126800000X | Dental Assistant | 2016004424 | MO | Dental Providers |
| N | 126800000X | Dental Assistant | 2016004427 | MO | Dental Providers |
| N | 126800000X | Dental Assistant | 2016004425 | MO | Dental Providers |
| Street Address |
1701 W. SUNSHINE STREET SUITE Q |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65807-2261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
| 1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
| 1598250961 | Kathryn Barber | Nurse Practitioner | 3800 S National Ave Ste 700, Springfield, MO 65807 | 2018-06-27 |
| 1447764899 | Missouri Midwifery Service | Clinic/Center | 3840 South Avenue, Springfield, MO 65807 | 2017-11-21 |
| 1124530290 | Senior Living Management Group, LLC | Skilled Nursing Facility | 3705 S Jefferson Ave, Springfield, MO 65807 | 2017-10-30 |
| 1740663335 | Sarah E Kirk | Physical Therapist | 3545 S. National Ave, Springfield, MO 65807 | 2015-07-01 |
| 1750713335 | Amanda Ward | Nurse Practitioner | 2150 W Republic Rd Ste 112, Springfield, MO 65807 | 2013-08-06 |
| 1932531126 | Eugenia R Cortez | Counselor | 2124 Chesterfield Blvd., Springfield, MO 65807 | 2013-07-30 |
| 1962742866 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3045 W Republic St, Springfield, MO 65807 | 2013-03-01 |
| 1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
| Find all providers in zip 65807 | ||||
| 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 |
|---|---|---|---|---|
| 1437506482 | Albert Evans | Dental Hygienist | 1230 Piedmont St, Springfield, OR 97477-2609 | 2016-05-19 |
| 1770981821 | Daniel Warner | Dental Hygienist | 4955 S National Ave, Springfield, MO 65810-2989 | 2014-12-05 |
| 1437561321 | Jennifer Elizabeth Inman | Dental Hygienist | 4825 Camellia St, Springfield, OR 97478-6753 | 2014-05-27 |
| 1114353901 | Cinda Holaday | Dental Hygienist | 1137 S 45th St, Springfield, OR 97478-7539 | 2013-09-24 |
| 1144564808 | Chelsea Baker | Dental Hygienist | 734 N 66th St, Springfield, OR 97478-7110 | 2012-11-19 |
| 1275804528 | Naiya M Cirillo | Dental Hygienist | 38 Brunswick St, Springfield, MA 01108-2814 | 2012-01-18 |
| 1902115983 | Lilliane Marie Kemp | Dental Hygienist | 38708 Natures Garden St, Springfield, OR 97478-9655 | 2010-09-24 |
| 1679105357 | Cynthia Lynn Packard | Dental Hygienist | 900 Church St, Springfield, CO 81073-1636 | 2020-02-10 |
| 1336785971 | Megan Danielle Kindernay | Dental Hygienist | 2633 Chatham Rd, Springfield, IL 62704-4185 | 2019-11-19 |
| 1427523265 | Kristin Lee Shoemaker | Dental Hygienist | 575 S 70th St, Springfield, OR 97478-7452 | 2018-10-08 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65807 |
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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.