MRS. TERRY SUSETTE PATRICK (NPI# 1760929525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760929525 |
| Entity Type | Individual |
| Full Name | MRS. TERRY SUSETTE PATRICK |
| Credential | RDH |
| Practice Address |
199 8th Division Rd. Salomon Dental Clinic Fort Benning GA 31905-7077 |
| Mailing Address |
5264 10th Armored Loop Fpo AP 31905-7077 |
| Practice Telephone | 7066176851 |
| Mailing Telephone | 7732094832 |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2017-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 020.010280 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689643926 | Terry Clark Patrick | Optometrist | 610 California Ave, Libby, MT 59923-1902 | 2006-03-17 |
| Street Address |
199 8TH DIVISION RD. SALOMON DENTAL CLINIC |
| City | FORT BENNING |
| State | GA |
| Zip Code | 31905-7077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134741366 | Micah Elizabeth Lajoie | Specialist/Technologist | 7148 2nd Cavalry Street, Ft. Benning, GA 31905 | 2020-05-11 |
| 1598301384 | Tiffany Nicole Wolfe | Physical Therapist | 7446 Sightseeing Road, Bldg 2515, Ft Benning, GA 31905 | 2019-11-27 |
| 1790261022 | Kyle Joseph Burkardt | Dentist | Love Dental Clinic, 7101 Hoff St, Bldg 9240, Apo, AA 31905 | 2018-07-19 |
| 1821514449 | Rebekah Schott | Dentist | 7101 Hoff St., Fort Benning, GA 31905 | 2017-08-15 |
| 1043757677 | Karen Tolliver | Dental Hygienist | 7770 Sightseeing Rd, Bldg 2828, Fort Benning, GA 31905 | 2017-01-20 |
| 1356897953 | Katelyn Dolezal | Student in an Organized Health Care Education/Training Program | 6600 Van Aalst Blvd, Bldg 9250, Fort Benning, GA 31905 | 2016-09-01 |
| 1043663636 | Vicky J. Nehl | Dental Hygienist | 11th Abn Div Rd, Bldg 3255, Fort Benning, GA 31905 | 2016-07-19 |
| 1376992719 | Xenia Key | Dental Assistant | 7770 Sightseeing Road, Bernheim Dental Clinic, Fort Benning, GA 31905 | 2016-06-07 |
| 1588013189 | Barbara Parker | Dental Assistant | 2828 Sightseeing Rd, Fort Benning, GA 31905 | 2016-06-06 |
| 1568811255 | Tavonna Ashley | Dental Hygienist | 7107 Hoff Street, Apo, AA 31905 | 2016-06-03 |
| Find all providers in zip 31905 | ||||
| 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 |
|---|---|---|---|---|
| 1811477953 | Nichole R Spaid | Dental Hygienist | 8465 Blackhorse St, Fort Benning, GA 31905-7038 | 2018-08-17 |
| 1043757677 | Karen Tolliver | Dental Hygienist | 7770 Sightseeing Rd, Bldg 2828, Fort Benning, GA 31905 | 2017-01-20 |
| 1043663636 | Vicky J. Nehl | Dental Hygienist | 11th Abn Div Rd, Bldg 3255, Fort Benning, GA 31905 | 2016-07-19 |
| 1023460532 | Leslie Hill | Dental Hygienist | 6976 Old Cusseta Rd Bldg 4202, Fort Benning, GA 31905-5431 | 2016-07-08 |
| 1518061290 | Kenda Rochelle Whittingham | Dental Hygienist | Bldg 3255 11th Airborne Div Road, Fort Benning, GA 31905 | 2006-09-12 |
| 1114435633 | Valerie Elane Cozbey | Dental Hygienist | 7770 Sightseeing Rd, Fort Benning, GA 31905-3764 | 2018-01-18 |
| 1700334273 | Heather Shuta | Dental Hygienist | 7101 Hoff St Bldg 9240, Usa Dental Activity, Fort Benning, GA 31905-5645 | 2016-09-14 |
| 1689127680 | Carla Cribb | Dental Hygienist | 7101 Hoff St Bldg 9240, Usa Dental Activity, Fort Benning, GA 31905 | 2016-07-27 |
| 1194174987 | Kimberly Hibbs | Dental Hygienist | 6600 Van Aalst Blvd, Mach Dental Clinic - Oral Surgery, Fort Benning, GA 31905 | 2016-06-13 |
| 1003265778 | Delacey Reid Bailey | Dental Hygienist | 7710 Sightseeing Rd Bldg 2826, Fort Benning, GA 31905-3764 | 2016-06-03 |
| Find all providers in FORT BENNING | ||||
| City | FORT BENNING |
| Zip Code | 31905 |
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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.