MELISSA O'DELL (NPI# 1700250826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700250826 |
| Entity Type | Individual |
| Full Name | MELISSA O'DELL |
| Practice Address |
1904 Lynne Ln Nw Grand Rapids MI 49504-6029 |
| Practice Telephone | 6167341671 |
| Mailing Telephone | 6167341671 |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2015-12-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 2902013027 | MI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770697047 | Melissa Dawn O'dell | Counselor | 1101 W 2nd St, Little Rock, AR 72201-2003 | 2006-08-17 |
| 1588030092 | Melissa O'dell | Psychiatry & Neurology | 42nd @ Dewey St, Omaha, NE 68198-1023 | 2015-08-19 |
| 1417399593 | Melissa O'dell | Counselor | 1526 Walden Ave, Suite 400, Cheektowaga, NY 14225-4965 | 2013-07-18 |
| 1578847802 | Melissa O'dell | Speech-Language Pathologist | 4901 Northshore Dr, North Little Rock, AR 72118-5293 | 2011-10-05 |
| Street Address |
1904 LYNNE LN NW |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49504-6029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477049518 | Mark Contreras | Nurse Practitioner | 72 Sheldon Blvd Se # 130, Grand Rapids, MI 49504 | 2018-07-02 |
| 1205338753 | Kelli Marie Selby | Physical Therapist | 235 Wealthy, Grand Rapids, MI 49504 | 2018-03-01 |
| 1871094474 | Kymiri Lyn Coles | Physical Therapist | 1000 Edison Ave Ne, Grand Rapids, MI 49504 | 2018-02-28 |
| 1881132744 | Courtney Glinka | Behavior Technician | 1149 Butterworth St Sw, Grand Rapids, MI 49504 | 2017-02-10 |
| 1649650300 | Alyson Renee Vela | Social Worker | 1256 Walker Ave Ne, Grand Rapids, MI 49504 | 2015-06-08 |
| 1508258500 | Grand Rapids Natural Health | Nutritionist | 638 Fulton Street W., Grand Rapids, MI 49504 | 2015-02-27 |
| 1144622598 | Robert Mclaren | Physical Therapist | 2807 Lake Michigan Dr Nw Ste 1, Grand Rapids, MI 49504 | 2014-09-17 |
| 1972854339 | Beth Ellen Gregory | Registered Nurse | 1956 Walker Avenue Northwest, Grand Rapids, MI 49504 | 2012-09-26 |
| 1588914147 | Unlimited Alternatives | Community/Behavioral Health | 282 Leonard, Grand Rapids, MI 49504 | 2012-09-11 |
| 1386912178 | Michael Allen Crawford | Pharmacist | 800 West Leonard Nw, Grand Rapids, MI 49504 | 2011-12-07 |
| Find all providers in zip 49504 | ||||
| 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 |
|---|---|---|---|---|
| 1407221427 | Emily Kose | Dental Hygienist | 550 Cherry Street, Grand Rapids, MI 49503-4748 | 2015-12-02 |
| 1922473057 | Jodi Basiaga | Dental Hygienist | 2843 Vistaview Dr Nw, Grand Rapids, MI 49544-8204 | 2015-12-01 |
| 1205208667 | Jeanette Vanoeffelen | Dental Hygienist | 101 Sheldon Se, Grand Rapids, MI 49503 | 2015-10-26 |
| 1417354077 | Kelly Kathleen Bearss | Dental Hygienist | 6715 Old 28th St Se, Grand Rapids, MI 49546-6923 | 2014-11-25 |
| 1952916710 | Amy Lynn Jones | Dental Hygienist | 717 Georgia Ct Ne, Grand Rapids, MI 49525-2180 | 2020-09-09 |
| 1861024325 | Michelle Lynn Heeren | Dental Hygienist | 550 Cherry St Se, Grand Rapids, MI 49503-4748 | 2020-02-12 |
| 1912551219 | Mallory Anderson | Dental Hygienist | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2019-07-25 |
| 1366004913 | Margaret Jane Vandenbosch | Dental Hygienist | 2060 Division Ave S, Grand Rapids, MI 49507-3029 | 2019-07-03 |
| 1497317036 | Deborah Lynn Schorr | Dental Hygienist | 2060 Division Ave S, Grand Rapids, MI 49507-3029 | 2019-07-03 |
| 1659835486 | Michelle Enos | Dental Hygienist | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2019-01-25 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49504 |
Please comment or provide details below to improve the information on MELISSA O'DELL.
| 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.