ANGIE SMITLEY


Address: 1300 Stedman St, Ketchikan, AK 99901-6661
Phone: 9072280320

ANGIE SMITLEY (NPI# 1740624170) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist 2123 AK Dental Providers

Office Location

Street Address 1300 STEDMAN ST
City KETCHIKAN
State AK
Zip Code 99901-6661

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 124Q00000X
Grouping Dental Providers
Classification Dental Hygienist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City KETCHIKAN
Zip Code 99901

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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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