MRS. KEISA GRISALES


Address: 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5005
Phone: 3157726234

MRS. KEISA GRISALES (NPI# 1679922363) 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) 1679922363
Entity Type Individual
Full Name MRS. KEISA GRISALES
Credential DENTAL ASSISTANTEFDA
Practice Address 10590 Enduring Freedom Dr
Fort Drum
NY 13602-5005
Practice Telephone 3157726234
Mailing Telephone 3157726234
Enumeration Date 2016-06-03
Last Update Date 2016-06-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

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

Office Location

Street Address 10590 ENDURING FREEDOM DR
City FORT DRUM
State NY
Zip Code 13602-5005

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578621769 Keith Jonathan Wilson Dentist 10590 Enduring Freedom Dr, Us Army Dental Activity, Fort Drum, NY 13602-5005 2006-12-04
1669087771 Mitchell Garrett Lamb Dentist 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5503 2020-09-15
1356955603 Euris Miguel Mieses Dentist 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5503 2020-09-03
1003464009 Jacob Miller Allen Dentist 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5503 2019-09-03
1568957694 Sarah Marie Mcsherry Dentist 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5503 2018-07-01
1134614563 Jacob D Woodward Dentist 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5503 2018-06-27
1821500802 Bianca Garcia Dental Hygienist 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5005 2017-10-30
1265976328 Hye H Kim Dentist 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5005 2016-12-08
1467803338 Dennis Nicholson Dental Assistant 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5005 2016-06-22
1841649530 Julie Wainwright Dental Assistant 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5005 2016-06-03
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235697590 Joshua Lee Hickman Physician Assistant Bldg P10506 Euphrates River Valley Rd, Fort Drum, NY 13602 2019-03-06
1447721345 Lisa Marie Lewis Social Worker 11044 Mount Belvedere Blvd, Fort Drum, NY 13602 2018-12-17
1720555253 Elizabeth M Hover Social Worker P11050 Mt Belvedere Blvd, Fort Drum, NY 13602 2018-11-02
1376037424 Phillip Dakotah Mitchell Physician Assistant 10020 Euphrates River Valley Road, Fort Drum, NY 13602 2018-06-20
1063902666 Guthrie Ahc Clinic/Center P19914 M3r Tampa, Fort Drum, NY 13602 2018-05-18
1255846879 Morgan Elizabeth Callari Dental Hygienist 10205 S Riva Ridge Loop, Fort Drum, NY 13602 2017-12-05
1609389097 John Charles Bockmann Physician Assistant Connor Troop Medical Clinic, 10506 Euphrates River Valley Rd, Fort Drum, NY 13602 2017-11-08
1902318207 Nicholas Andrew Jones Military Health Care Provider 10506 S. Riva Ridge, Fort Drum, NY 13602 2017-10-26
1508389198 Richard Scott Christiansen Physical Therapist 10330 S Riva Ridge Loop, Fort Drum, NY 13602 2017-07-25
1811418098 Emer B Bajuelos Dentist Ft Drum W07uaa 10590, Ft Drum, Apo, AP 13602 2017-06-28
Find all providers in zip 13602

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
1467803338 Dennis Nicholson Dental Assistant 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5005 2016-06-22
1841649530 Julie Wainwright Dental Assistant 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5005 2016-06-03
1669821351 Jonathan Smith Dental Assistant 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5005 2016-06-03
1790134492 Dwayne Trinidad Dental Assistant 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5005 2016-06-03
1033568720 Mary Bice Dental Assistant 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5005 2016-06-03
1851740542 Linda Cox Dental Assistant 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5005 2016-06-03
1427407121 Sue Randall-schneebeli Dental Assistant 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5005 2016-06-03
1114376803 Nelly Gutierrez Dental Assistant 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5005 2016-06-03
1336598036 Mario Lopez Dental Assistant 10590 Enduring Freedom Dr, Us Army Dental Activity, Fort Drum, NY 13602-5005 2016-06-03
1760831457 Lisa Green Dental Assistant 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5005 2016-06-03
Find all providers in FORT DRUM

Competitor

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City FORT DRUM
Zip Code 13602

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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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