MS. KRISTINE BOLSTER KORNGABLE (NPI# 1639621139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639621139 |
| Entity Type | Individual |
| Full Name | MS. KRISTINE BOLSTER KORNGABLE |
| Credential | R.D.H. |
| Practice Address |
903 W Center St United Way Building Suite 130 Rochester MN 55902-6278 |
| Practice Telephone | 5075290435 |
| Mailing Telephone | 5075290435 |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2016-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | H04702 | MN | Dental Providers |
| Street Address |
903 W CENTER ST UNITED WAY BUILDING SUITE 130 |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55902-6278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669922266 | Kelly Peterson | Dental Hygienist | 903 W Center St, United Way Building Suite 130, Rochester, MN 55902-6278 | 2016-10-06 |
| 1558814780 | Ashley Stevenson | Dental Hygienist | 903 W Center St, #208, Rochester, MN 55902-6278 | 2016-07-23 |
| 1548517469 | Sheldon David Las | Dental Hygienist | 903 W Center St, Rochester, MN 55902-6278 | 2012-08-09 |
| 1740577519 | Jessica Chute | Dental Hygienist | 903 W Center St, Suite 208, Rochester, MN 55902-6278 | 2011-06-30 |
| 1790088979 | Cynthia Ann Degner | Dental Hygienist | 903 W Center St, Suite 208, Rochester, MN 55902-6278 | 2010-12-10 |
| 1548579014 | Jana Lee Ebnet | Dental Hygienist | 903 W Center St, Suite 208, Rochester, MN 55902-6278 | 2010-10-01 |
| 1336317833 | Toni Smith-johnson | Dental Hygienist | 903 W Center St, United Way Building - Suite 208, Rochester, MN 55902-6278 | 2008-02-19 |
| 1871643908 | Addiction Recovery Technologies of Rochester, LLC | Clinic/Center | 903 W Center St, Suite 230, Rochester, MN 55902-6278 | 2007-01-11 |
| 1881780864 | Children's Dental Health Services | Clinic/Center | 903 W Center St, Suite 208, Rochester, MN 55902-6278 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487264446 | Amber Nichelle Irby | Dental Therapist | 903 W Center St #130, Rochester, MN 55902 | 2020-08-05 |
| 1720584337 | John E Herman Home and Treatment Facility, LLC | Psychiatric Residential Treatment Facility | 351 14th Ave Sw, Rochester, MN 55902 | 2018-04-03 |
| 1912442898 | Esperanza Torres | Dental Hygienist | 903 West Center Street, Suite 130, United Way Bldg, Rochester, MN 55902 | 2016-12-30 |
| 1578971149 | Alduz Inri Surio Cabasa | Student in an Organized Health Care Education/Training Program | 609 1st Street Sw, Unit 102, Rochester, MN 55902 | 2014-07-28 |
| 1679901854 | Julie Erickson | Dental Hygienist | United Way Building Suite #208, Rochester, MN 55902 | 2013-10-24 |
| 1619313590 | Mercedes K Schulz | Dental Hygienist | 13394th Ave Sw, Rochester, MN 55902 | 2013-05-17 |
| 1093087389 | Sarah Jean Dennison | Clinic/Center | 930 West Center Street, Suite 208 United Way Bldg, Rochester, MN 55902 | 2012-02-01 |
| 1467732156 | Angela Elizabeth Peters | Registered Nurse | 1450 2nd Avenue Sw, Rochester, MN 55902 | 2011-08-25 |
| 1528350071 | Emily Zahasky Kraft | Pharmacist | 204 1st Street Sw, Rochester, MN 55902 | 2011-05-03 |
| 1093021982 | Sherry Dawn Boutcher | Dental Hygienist | 903 West Center Street Suite 208, United Way Building, Rochester, MN 55902 | 2010-08-30 |
| Find all providers in zip 55902 | ||||
| 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 |
|---|---|---|---|---|
| 1285271775 | Elizabeth Marie Dooher-anthony | Dental Hygienist | 490 Falstaff Rd, Rochester, NY 14609-5551 | 2019-12-04 |
| 1760027460 | Claire Roesler | Dental Hygienist | 903 Center St W # 103, Rochester, MN 55902-6278 | 2019-11-18 |
| 1225689060 | Kylie Anderson | Dental Hygienist | 903 Center St W Ste 130, Rochester, MN 55902-6278 | 2019-09-23 |
| 1912442898 | Esperanza Torres | Dental Hygienist | 903 West Center Street, Suite 130, United Way Bldg, Rochester, MN 55902 | 2016-12-30 |
| 1760853048 | Brittany Nicole Thomas | Dental Hygienist | 903 W Center St Ste 130, Rochester, MN 55902-6278 | 2015-10-13 |
| 1679901854 | Julie Erickson | Dental Hygienist | United Way Building Suite #208, Rochester, MN 55902 | 2013-10-24 |
| 1619313590 | Mercedes K Schulz | Dental Hygienist | 13394th Ave Sw, Rochester, MN 55902 | 2013-05-17 |
| 1801159207 | Angela Vettrus | Dental Hygienist | 210 Woodlake Dr Se Ste B, Rochester, MN 55904-4514 | 2012-06-20 |
| 1497056089 | Christina R Thompson | Dental Hygienist | 40 Worthington Rd, Ny, Rochester, NY 14622-2538 | 2010-11-12 |
| 1932400215 | Lynn Mulso | Dental Hygienist | 903 W Center St Ste 208, Rochester, MN 55902-6278 | 2010-11-03 |
| Find all providers in ROCHESTER | ||||
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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.