JACQUELINE PATRICK


Address: 9900 Lincoln Street, 2nd Florr, Us Army Dentac, Tacoma, WA 98327
Phone: 2536984079

JACQUELINE PATRICK (NPI# 1659873453) 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) 1659873453
Entity Type Individual
Full Name JACQUELINE PATRICK
Practice Address 9900 Lincoln Street, 2nd Florr
Us Army Dentac
Tacoma
WA 98327
Mailing Address 9900 Lincoln Street
Tacoma
WA 98327
Practice Telephone 2536984079
Enumeration Date 2018-03-07
Last Update Date 2018-03-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 126800000X Dental Assistant Dental Providers

Office Location

Street Address 9900 LINCOLN STREET, 2ND FLORR
US ARMY DENTAC
City TACOMA
State WA
Zip Code 98327

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124683610 Kathryn Michele Hines Behavior Technician 1570 Wilmington Dr #220, Dupont, WA 98327 2019-05-09
1841785730 Ethan Earl Tindall Dentist 9900 Lincoln St, 2nd Floor, Us Army Dentac, Tacoma, WA 98327 2018-06-25
1962996272 William Thomas Frei Dentist 9900 Lincoln St, 2nd Floor, Attn: Credentials Office, Us Army Dentac, Tacoma, WA 98327 2018-06-20
1215436431 Careage Home Health LLC Home Health 1600 Marshall Circle, Dupont, WA 98327 2018-02-02
1649621400 Charles Walter Woodruff II Dentist Joint Base Lewis-mccord Dentac, Dental Clinic 3, Jblm, WA 98327 2016-06-23
1164898532 Richard Lauderback Dentist 9900 Lincoln Street, 2nd Floor, Attn: Credentials Office, Tacoma, WA 98327 2015-08-19
1639552110 Philip Henzlik Dentist 9900 Lincoln St. 2nd Floor, Us Army Dentac, Tacoma, WA 98327 2015-07-02
1861731739 Elizabeth Brooke Stout Behavioral Analyst 1570 Wilmington Drive, Ste 220, Dupont, WA 98327 2013-02-12
1184902116 Lidiya Kozlova Massage Therapist 5006 Center St Dr Ste N, Aim Physical Therapy, Tacoma, WA 98327 2011-07-25
1093043259 Asa Nels Hansen Chiropractor 1000 Station Drive, Suite 100, Dupont, WA 98327 2009-11-30
Find all providers in zip 98327

Taxonomy Information

Taxonomy Code 126800000X
Grouping Dental Providers
Classification Dental Assistant

Taxonomy Definition

An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609383561 Barbara Thaler Dental Assistant 2008 Hillside Dr Ne, Tacoma, WA 98422-4268 2018-01-01
1710498803 Kimberly Ann Walters Dental Assistant 11572 17th and C. Street, Tacoma, WA 98433 2017-10-17
1588182026 Nguyen Smith-trinidad Dental Assistant North Division St Bldg 2103p, Tacoma, WA 98431-0001 2017-09-05
1740736495 Misty Hill Dental Assistant 9119 Mill Park Ave, Tacoma, WA 98431 2016-08-31
1518319151 Lucy Comley Dental Assistant N Division St Bldg 2103p, Tacoma, WA 98431-0001 2016-07-07
1326499377 Christina Posner Dental Assistant Madigan Annex 2nd Floor Bldg 9900, Tacoma, WA 98431-0001 2016-06-30
1144671298 Melissa Sue Wilkins Dental Assistant Bldg 9900, 2nd Floor, Tacoma, WA 98431-0001 2016-06-29
1750716460 Amanda G Hogan Dental Assistant 646 S State St, Tacoma, WA 98405-3036 2013-09-12
1144551003 Carmen Marie Diaz Dental Assistant 7241 S Monroe St, Tacoma, WA 98409-2445 2010-01-15
1720691116 Mercedes Mmn Valdivia Dental Assistant North Division St Bldg 2103p, Tacoma, WA 98431-0001 2020-08-26
Find all providers in TACOMA

Competitor

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City TACOMA
Zip Code 98327

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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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