MARY CRUZ AGUILAR (NPI# 1659985497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659985497 |
| Entity Type | Individual |
| Full Name | MARY CRUZ AGUILAR |
| Credential | DENTAL HYGIENIST |
| Practice Address |
1901 W Western Ave Ste B South Bend IN 46619-3570 |
| Mailing Address |
1901b W Western Ave # B South Bend IN 46619-3521 |
| Practice Telephone | 5742349033 |
| Mailing Telephone | 5742349033 |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 13007812A | IN | Dental Providers |
| Street Address |
1901 W WESTERN AVE STE B |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46619-3570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730194416 | Edna Pamatmat | Internal Medicine | 1901 W Western Ave Ste B, South Bend, IN 46619-3570 | 2006-07-30 |
| 1861005589 | Gladys Alalade | Registered Nurse | 1901 W Western Ave Ste B, South Bend, IN 46619-3570 | 2020-08-24 |
| 1720605280 | Alma Delia Counsellor | Dental Hygienist | 1901 W Western Ave Ste B, South Bend, IN 46619-3570 | 2020-07-01 |
| 1689102865 | Yasir S. Al-obaidi | Dentist | 1901 W Western Ave Ste B, South Bend, IN 46619-3570 | 2017-05-31 |
| 1477977437 | Jennifer Carapia | Nurse Practitioner | 1901 W Western Ave Ste B, South Bend, IN 46619-3570 | 2014-02-12 |
| 1689968349 | Ernest Alexander Vera-vazquez | Internal Medicine | 1901 W Western Ave Ste B, South Bend, IN 46619-3570 | 2011-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578015103 | Martin's Super Markets, Inc. | Pharmacy | 525 S. Mayflower Rd, South Bend, IN 46619 | 2016-10-31 |
| 1124449053 | Sandra J Jackson | Counselor | 4218 Western Ave., South Bend, IN 46619 | 2013-12-19 |
| 1902227911 | Patricia Ann Miller | Counselor | 4218 Western Ave, South Bend, IN 46619 | 2013-12-17 |
| 1740611953 | Cynthia G. Finney | Counselor | 4218 Western Avenue, So Bend, IN 46619 | 2013-12-13 |
| 1437433406 | Angela Nicole Zolvinski | Pharmacist | 4444 W. Western Ave, South Bend, IN 46619 | 2011-10-07 |
| 1871674556 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 4600 W Washington St, South Bend, IN 46619 | 2006-10-18 |
| 1942302203 | April Holtgren | Family Medicine | 1901 #b Western Ave, South Bend, IN 46619 | 2006-09-05 |
| 1447737002 | Graciela Jimenez-martinez | Registered Nurse | 1901 #b Western Avenue, South Bend, IN 46619 | 2018-07-25 |
| 1821397878 | Wright Dream | In Home Supportive Care | 706 S Sheridan St, South Bend, IN 46619 | 2011-03-16 |
| 1740439223 | Scott J. Vanslambrouck | Dentist | 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46619 | 2008-09-09 |
| Find all providers in zip 46619 | ||||
| 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 |
|---|---|---|---|---|
| 1720605280 | Alma Delia Counsellor | Dental Hygienist | 1901 W Western Ave Ste B, South Bend, IN 46619-3570 | 2020-07-01 |
| 1497317952 | Doreen Cynthia Pienkowski | Dental Hygienist | 326 Chapin St, South Bend, IN 46601-2541 | 2019-07-05 |
| 1871158279 | Kelli Gumm | Dental Hygienist | 326 Chapin St, South Bend, IN 46601-2541 | 2019-05-01 |
| 1467920892 | Mallory Edmondson | Dental Hygienist | 1002 S Esther St, South Bend, IN 46615-1440 | 2018-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702828 | Oleg Borisyuk | Dental Hygienist | 804 S Green River Rd, Evansville, IN 47715-4106 | 2020-08-28 |
| 1578182309 | Carrie Striplin | Dental Hygienist | 6420 Sunset Ln, Indianapolis, IN 46260-4633 | 2020-04-12 |
| 1154979458 | Courtney Huffman | Dental Hygienist | 2709 Washington Ave Ste 2, Evansville, IN 47714-2412 | 2019-08-29 |
| 1972061562 | Jaime L Kinsey | Dental Hygienist | 4952 W 500 N, Wabash, IN 46992-9017 | 2019-03-04 |
| 1144708512 | Toni Leigh Szabo | Dental Hygienist | 14700 Carrigan Ct, Granger, IN 46530-4224 | 2018-07-29 |
| 1669964581 | Lisa A Greene | Dental Hygienist | Conservative Dental Solutions, 101 N Cross Street, Waveland, IN 47989 | 2018-06-06 |
| 1730670639 | Kathleen Mcmannes | Dental Hygienist | 4629 Melton Rd, Gary, IN 46403-2866 | 2018-05-25 |
| 1699298471 | Stacy Lynn Lashenik | Dental Hygienist | 7101 E Lincoln Hwy, Crown Point, IN 46307-8821 | 2017-07-24 |
| 1861871170 | Mercy Seat Dentistry | Dental Hygienist | 2155 Commerce Drive, Bluffton, IN 46714 | 2015-05-20 |
| 1992118426 | Lynnette Martin-richey | Dental Hygienist | 1453 Flagstone Dr, Dyer, IN 46311-2294 | 2014-06-02 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BEND |
| Zip Code | 46619 |
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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.