ERNESTO ALENIADO SOBERANO


Address: 301 Preston Rd, Jacksonville, NC 28540-5656
Phone: 7574448654

ERNESTO ALENIADO SOBERANO (NPI# 1659464055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659464055
Entity Type Individual
Full Name ERNESTO ALENIADO SOBERANO
Practice Address 301 Preston Rd
Jacksonville
NC 28540-5656
Practice Telephone 7574448654
Mailing Telephone 7574448654
Enumeration Date 2006-09-30
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist 7404 NC Dental Providers

Office Location

Street Address 301 PRESTON RD
City JACKSONVILLE
State NC
Zip Code 28540-5656

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Taxonomy Information

Taxonomy Code 124Q00000X
Grouping Dental Providers
Classification Dental Hygienist

Taxonomy Definition

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.

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1962012328 Melody Jean Garcia Dental Hygienist Navy Medicene Support Command : Medical Staff Services, Bldg H, 2005 Knight Lane, Jacksonville, FL 32221-0140 2020-07-31
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1497185060 Kelly Pickton Dental Hygienist 554 Keily St Bumed Ccp Directorate, Jacksonville, FL 32212 2013-11-19
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Competitor

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City JACKSONVILLE
Zip Code 28540

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Dataset Information

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.

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