ANGIE SMITLEY (NPI# 1740624170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740624170 |
Entity Type | Individual |
Full Name | ANGIE SMITLEY |
Practice Address |
1300 Stedman St Ketchikan AK 99901-6661 |
Practice Telephone | 9072280320 |
Practice Fax Number | 9072280255 |
Mailing Telephone | 9072280320 |
Mailing Fax Number | 9072280255 |
Enumeration Date | 2013-04-29 |
Last Update Date | 2013-04-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | 2123 | AK | Dental Providers |
Street Address |
1300 STEDMAN ST |
City | KETCHIKAN |
State | AK |
Zip Code | 99901-6661 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508827163 | Edward Bomberger II | Technician, Other | 1300 Stedman St, Ketchikan, AK 99901-6661 | 2006-03-31 |
1588015309 | Billy J Stroud IIi | Technician, Other | 1300 Stedman St, Ketchikan, AK 99901-6661 | 2016-06-22 |
1942650387 | Ashley Sarkisian | Technician, Other | 1300 Stedman St, Ketchikan, AK 99901-6661 | 2016-06-16 |
1215383377 | William Jahns | Technician, Other | 1300 Stedman St, Ketchikan, AK 99901-6661 | 2016-05-09 |
1285948877 | Hswl Fo Kodiak Det Ketchikan | Military/U.S. Coast Guard Pharmacy | 1300 Stedman St, Ketchikan, AK 99901-6661 | 2010-08-06 |
1275768426 | Lindsay Sonnier | Technician, Other | 1300 Stedman St, Ketchikan, AK 99901-6661 | 2009-05-18 |
1912131608 | Michael John Dellaneve | Technician, Other | 1300 Stedman St, Ketchikan, AK 99901-6661 | 2009-05-08 |
1619143658 | U.S. Coast Guard Medical Clinic | Case Management | 1300 Stedman St, Ketchikan, AK 99901-6661 | 2008-04-30 |
1194900829 | Rhett Jackson | Registered Nurse | 1300 Stedman St, Ketchikan, AK 99901-6661 | 2007-12-31 |
1346450905 | John Gilbert | Technician, Other | 1300 Stedman St, Ketchikan, AK 99901-6661 | 2007-05-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992314215 | Residential Youth Care, Inc. | Community/Behavioral Health | 2442 Tongass Avenue, Ketchikan, AK 99901 | 2020-07-23 |
1316563026 | Residential Youth Care, Inc. | Community/Behavioral Health | 606 Hill Road, Ketchikan, AK 99901 | 2020-06-18 |
1043836851 | Residential Youth Care, Inc. | Community/Behavioral Health | 2514 1st Avenue, Ketchikan, AK 99901 | 2020-06-18 |
1215553029 | Residential Youth Care, Inc. | Community/Behavioral Health | 2951 Baranof Avenue, Ketchikan, AK 99901 | 2020-06-18 |
1174159222 | Helene Rae Simpson | Behavior Technician | 201 Deermont St, Ketchikan, AK 99901 | 2020-03-20 |
1003295155 | Suzanne Webb | Massage Therapist | 602 Dock St Ste 106, Ketchikan, AK 99901 | 2015-05-22 |
1093194342 | Kate Mortensen | Case Manager/Care Coordinator | 2690 Tongass Ave, Ketchikan, AK 99901 | 2015-05-20 |
1578879631 | Thomas Peter Ryan | Social Worker | 320 Bawden St. #318, Ketchikan, AK 99901 | 2010-08-27 |
1689820979 | Akeela Inc | Community Based Residential Treatment Facility, Mental Illness | 3050 Fifth Ave, Ketchikan, AK 99901 | 2008-08-18 |
1750565438 | Susan Marie Swift | Nurse Practitioner | 21 Jefferson Way, Suite 202, Psychiatry, Ketchikan, AK 99901 | 2007-12-18 |
Find all providers in zip 99901 |
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 |
---|---|---|---|---|
1205968864 | Lisa Marie Bezenek | Dental Hygienist | 2960 Tongass Ave, Suite 403, Ketchikan, AK 99901-5742 | 2007-03-09 |
1114059722 | Constance Suzanne Stewart | Dental Hygienist | 2960 Tongass Ave, Suite 403, Ketchikan, AK 99901-5742 | 2007-03-09 |
1144282179 | Sheila Ann Ellington | Dental Hygienist | 1300 Stedman St, Ketchikan, AK 99901-6661 | 2006-04-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831722198 | Sarah Carter | Dental Hygienist | 36721 Saint Theresa Rd, Soldotna, AK 99669-8653 | 2020-02-14 |
1619487808 | Elisabeth Turner | Dental Hygienist | 6611 Debarr Rd Ste 100, Anchorage, AK 99504-1706 | 2017-10-03 |
1801335856 | Meridian Dental, LLC | Dental Hygienist | 3465 E Meridian Park Loop Ste C, Wasilla, AK 99654-7264 | 2017-02-22 |
1003268657 | Brandy Tristan | Dental Hygienist | Bldg 3406, Troop Dental Clinic, Ft. Wainwright, AK 99703 | 2016-07-07 |
1679922496 | Karen Peters | Dental Hygienist | 600 Richardson Dr, Bld. # 634, Fort Richardson, AK 99505-8310 | 2016-06-13 |
1396116182 | Kelly Adrian | Dental Hygienist | 19436 Laura Lee Cir, Eagle River, AK 99577-8415 | 2015-10-19 |
1679909253 | Kjerstena Elizabeth Yocum | Dental Hygienist | 215 Front Street, Wrangell, AK 99929 | 2013-09-16 |
1356600886 | Di Ann Thain | Dental Hygienist | 7300a Klawock-hollis Hwy, Klawock, AK 99925 | 2012-05-03 |
1134497936 | Barbara J Sylvester | Dental Hygienist | 122 First Ave Suite 600, Fairbanks, AK 99707-2585 | 2011-12-07 |
1881970184 | Laura M Greer | Dental Hygienist | 8150 Northwind Ave # B, Anchorage, AK 99504-4141 | 2011-10-31 |
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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.