CORISSA JULIE FLAGG (NPI# 1689017261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689017261 |
Entity Type | Individual |
Full Name | CORISSA JULIE FLAGG |
Credential | RDH |
Practice Address |
1700 Highway 36 W Ste 860 Saint Paul MN 55113-4034 |
Mailing Address |
11321 Ibis St Nw Coon Rapids MN 55433-3750 |
Practice Telephone | 6517789911 |
Mailing Telephone | 7632382136 |
Enumeration Date | 2013-04-12 |
Last Update Date | 2013-04-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | H8180 | MN | Dental Providers |
Street Address |
1700 HIGHWAY 36 W STE 860 |
City | SAINT PAUL |
State | MN |
Zip Code | 55113-4034 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396384376 | Zachary Mattson | Physician Assistant | Regus Coworking Space 2355 Highway 36 West, Suite 400, Office #427, Roseville, MN 55113 | 2019-12-23 |
1467010330 | Ahmed Issa | Student in an Organized Health Care Education/Training Program | 1550 Larpenteur Ave W, Apt 235, St Paul, MN 55113 | 2019-06-05 |
1821653833 | Suite Living Senior Care of Little Canada | Assisted Living Facility | 2740 Rice Street, Little Canada, MN 55113 | 2019-05-06 |
1902370505 | Diverse Assessments and Treatment, LLC | Psychologist | 1935 Cty Rd B2 W Ste 270, Roseville, MN 55113 | 2019-01-16 |
1588138473 | Applewood Home Health Care, LLC | Home Health | 2021 E Hennepin Avenue # 402-1, Minneapolis, MN 55113 | 2019-01-14 |
1699251520 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2685 Patton Rd, Roseville, MN 55113 | 2018-07-13 |
1083104145 | Suite Living Senior Care of Roseville | Assisted Living Facility | 197 County Road B2 W, Roseville, MN 55113 | 2018-05-15 |
1477055796 | Sunrise Residential Services LLC | Home Health | 216 Maple Ln, Roseville, MN 55113 | 2018-03-02 |
1194223024 | Alissa Hoff | Specialist | 1595 Mn 36 - 584 10 Rosedale Center, Roseville, MN 55113 | 2018-01-25 |
1841705118 | Kingsland Care Services Incorporated | Case Management | 2301 Rice Street, Suite 101, Roseville, MN 55113 | 2017-12-08 |
Find all providers in zip 55113 |
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 |
---|---|---|---|---|
1245894740 | Oksana Yarmolich | Dental Hygienist | 478 Robert St S, Saint Paul, MN 55107-2236 | 2019-04-30 |
1902365836 | Valerie Mae Kellen George | Dental Hygienist | 478 Robert St S, Saint Paul, MN 55107-2236 | 2019-03-19 |
1568920346 | Tracy Ann Schrantz | Dental Hygienist | 895 7th St E, Saint Paul, MN 55106-3871 | 2019-03-11 |
1669930442 | Carole Gerber | Dental Hygienist | 478 Robert St S, Saint Paul, MN 55107-2236 | 2019-03-11 |
1720546526 | Susan L Sanches | Dental Hygienist | 895 7th St E, Saint Paul, MN 55106-3871 | 2019-03-11 |
1760940530 | Lois Ann Berndt | Dental Hygienist | 895 7th St E, Saint Paul, MN 55106-3871 | 2019-03-11 |
1962960997 | Lynn Ruth Anderson | Dental Hygienist | 895 7th St E, Saint Paul, MN 55106-3871 | 2019-03-08 |
1437617453 | Tenzin Chokey | Dental Hygienist | 478 Robert St S, Saint Paul, MN 55107-2236 | 2019-03-08 |
1770098550 | Millie Ann Slabber | Dental Hygienist | 409 Dunlap St N, Saint Paul, MN 55104-4201 | 2017-12-03 |
1912331265 | Andrea L Jordan | Dental Hygienist | 895 7th St E, Saint Paul, MN 55106 | 2013-08-22 |
Find all providers in SAINT PAUL |
City | SAINT PAUL |
Zip Code | 55113 |
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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.