CAMILLE REYNAUD HATCHER (NPI# 1720240500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720240500 |
| Entity Type | Individual |
| Full Name | CAMILLE REYNAUD HATCHER |
| Credential | RDH |
| Practice Address |
508 W 76 Highway Anderson MO 64831 |
| Mailing Address |
Po Box 1136 Anderson MO 64831-1136 |
| Practice Telephone | 4178452243 |
| Practice Fax Number | 4178453942 |
| Mailing Telephone | 4178452243 |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2008-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 000740 | MO | Dental Providers |
| Street Address |
508 W 76 HIGHWAY |
| City | ANDERSON |
| State | MO |
| Zip Code | 64831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447806492 | Ronna Layne Duncan | Occupational Therapist | 734 Industrial Dr, Anderson, MO 64831 | 2019-08-15 |
| 1578961652 | Heidsha L Peterson | Dental Hygienist | 927 N 71 Business Hwy, Anderson, MO 64831 | 2014-12-05 |
| 1851794796 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 224 E Hwy 76, Anderson, MO 64831 | 2014-10-07 |
| 1194141317 | Rebecca A Bender | Nurse Practitioner | 510 Park Street, Anderson, MO 64831 | 2014-03-12 |
| 1205161726 | Kimberly Ann George | Dental Assistant | 508 W. Hwy. 71, Anderson, MO 64831 | 2009-10-16 |
| 1548469398 | Samantha Jean Sutton | Dentist | 508 W. 76 Hwy, Anderson, MO 64831 | 2007-07-12 |
| 1386774412 | Area Community Health Emissaries, Inc. | Dentist | 508 W 76 Hwy, Anderson, MO 64831 | 2007-03-07 |
| 1336279470 | Avoyn Forga | Dentist | 508 West 76 Hwy., Anderson, MO 64831 | 2007-03-07 |
| 1225142292 | Mustang Drug Inc | Pharmacy | 704 C South Hwy 59, Anderson, MO 64831 | 2006-08-18 |
| 1043252646 | Freeman Oak Hill Health System | Ambulance | 510 A Park St, Anderson, MO 64831 | 2006-06-11 |
| Find all providers in zip 64831 | ||||
| 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 |
|---|---|---|---|---|
| 1578961652 | Heidsha L Peterson | Dental Hygienist | 927 N 71 Business Hwy, Anderson, MO 64831 | 2014-12-05 |
| 1063663565 | Kristi Marie Dobbs | Dental Hygienist | 927 N Highway 71, Anderson, MO 64831-9753 | 2008-10-02 |
| 1528673605 | Vivian Avila Villarreal | Dental Hygienist | 1547 Ohio Ave, Anderson, IN 46016-1917 | 2020-09-15 |
| 1336754415 | Leslie Renee Pryor | Dental Hygienist | 1547 Ohio Ave, Anderson, IN 46016-1917 | 2020-09-15 |
| 1912251240 | Rebecca Otten | Dental Hygienist | 927 N Business Hwy 71, Anderson, MO 64831 | 2012-11-08 |
| 1639423965 | Crystal Talbert | Dental Hygienist | 927 N Business Hwy 71, Anderson, MO 64831 | 2012-11-08 |
| 1427383876 | Amy Shala Hill | Dental Hygienist | 508 W Highway 76, Anderson, MO 64831-8548 | 2009-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323238 | Marcia Poe | Dental Hygienist | 20815 S Dean Rd, Belton, MO 64012-9132 | 2020-10-12 |
| 1629682943 | Seong Jin Park | Dental Hygienist | 6958 Nebraska Ave Bldg 1608, Fort Leonard Wood, MO 65473-1618 | 2020-09-03 |
| 1447868542 | Emily Sue Leslie | Dental Hygienist | 315 W Mulberry Ste B, Pilot Knob, MO 63663-7860 | 2020-07-15 |
| 1982198453 | Traci Anne Shambo | Dental Hygienist | Bldg. 400 Virginia Ave, Fort Leonard Wood, MO 65473 | 2018-06-19 |
| 1396237863 | Maegen Mone Taylor | Dental Hygienist | 547 S Business Highway 13, Lexington, MO 64067 | 2018-05-31 |
| 1740798750 | Julie R Phillips | Dental Hygienist | 10007 Nw Lema Dr Apt C, Parkville, MO 64152-3933 | 2018-01-12 |
| 1639618325 | Tabitha Vollmer | Dental Hygienist | 1701 W. Sunshine Street, Suite Q, Springfield, MO 65807-2261 | 2017-02-15 |
| 1588113773 | Heather Annette Henke | Dental Hygienist | #5 Health Department Drive, Troy, MO 63379-4451 | 2016-09-28 |
| 1720532104 | Angela Faurot | Dental Hygienist | 4001 Pine View Dr, Columbia, MO 65202-4209 | 2016-08-15 |
| 1497105688 | Lisa Diane Moss | Dental Hygienist | 5047 Virginia Ave, Bldg 500, Fort Leonard Wood, MO 65473-9126 | 2016-06-17 |
| Find all providers with the same taxonomy | ||||
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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.