AMANDA LIGHTLE (NPI# 1770850729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770850729 |
| Entity Type | Individual |
| Full Name | AMANDA LIGHTLE |
| Practice Address |
2900 N Saginaw St Flint MI 48505-4452 |
| Mailing Address |
225 E 5th St Suite 300 Flint MI 48502-1641 |
| Practice Telephone | 8107899141 |
| Practice Fax Number | 8107892130 |
| Mailing Telephone | 8104064246 |
| Mailing Fax Number | 8104246029 |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2011-11-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 2902016378 | MI | Dental Providers |
| Street Address |
2900 N SAGINAW ST |
| City | FLINT |
| State | MI |
| Zip Code | 48505-4452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598745812 | Afroze Hai | Pediatrics | 2900 N Saginaw St, Flint, MI 48505-4452 | 2006-01-20 |
| 1407476542 | Raul Pariente | Student in an Organized Health Care Education/Training Program | 2900 N Saginaw St, Flint, MI 48505-4452 | 2020-04-18 |
| 1871156646 | David Joseph Realy | Pharmacist | 2900 N Saginaw St, Flint, MI 48505-4452 | 2019-04-17 |
| 1922566728 | Christopher Tanner | Nurse Practitioner | 2900 N Saginaw St, Flint, MI 48505-4452 | 2019-03-11 |
| 1649761065 | Mohamad Hassan Abdul Azim | Dentist | 2900 N Saginaw St, Flint, MI 48505-4452 | 2018-05-21 |
| 1396240875 | Peter Azer | Dentist | 2900 N Saginaw St, Flint, MI 48505-4452 | 2018-03-27 |
| 1699203216 | Samer Alhouri | Student in an Organized Health Care Education/Training Program | 2900 N Saginaw St, Flint, MI 48505-4452 | 2017-05-26 |
| 1164962015 | Anya Marie Harris | Dentist | 2900 N Saginaw St, Flint, MI 48505 | 2017-02-26 |
| 1952783441 | Michelle Cardinal Ranke | Dentist | 2900 N Saginaw St, Flint, MI 48505-4452 | 2015-06-22 |
| 1740661503 | Jenna Rennells | Nurse Practitioner | 2900 N Saginaw St, Flint, MI 48505-4452 | 2015-06-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912402629 | New Seasons Adult Services, LLC | Clinic/Center | 1035 E. Carpenter Road, Flint, MI 48505 | 2018-03-26 |
| 1477060176 | Metro Housing Development Corporation | Home Health | 930 East Myrtle Ave, Flint, MI 48505 | 2018-01-03 |
| 1912424193 | Courtney Reed | Behavior Technician | 4121 M L King Ave, Flint, MI 48505 | 2017-08-28 |
| 1871042960 | Patricia Giltrop | Dental Hygienist | 5399 N. Saginaw Street, Flint, MI 48505 | 2016-09-29 |
| 1265886048 | New Jerusalem Enterprise Inc | Custodial Care Facility | 1015 E. Carpenter Road, Flint, MI 48505 | 2016-04-19 |
| 1699185918 | Cynthia Bolden-howard | Pharmacist | 2900 N. Saginaw St, Flint, MI 48505 | 2014-05-08 |
| 1366881112 | Barry Michael Crawford | Family Medicine | 2900 N. Saginaw Street, Flint, MI 48505 | 2013-06-14 |
| 1043413206 | Debra Ann Fields-pettigrew | Social Worker | G2138 West Carpenter Rd, Flint, MI 48505 | 2007-06-06 |
| 1982001863 | Benjamin William Dempsey-klott | Nurse Practitioner | G2138 West Carpenter Rd, Flint, MI 48505 | 2014-11-20 |
| 1235643487 | Sandra Florida | Registered Nurse | 1057 E Coldwater Rd, Flint, MI 48505-1501 | 2017-11-27 |
| Find all providers in zip 48505 | ||||
| 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 |
|---|---|---|---|---|
| 1720587710 | Cassandra Socia | Dental Hygienist | G3222 Beecher Road, Flint, MI 48532 | 2018-02-06 |
| 1871042960 | Patricia Giltrop | Dental Hygienist | 5399 N. Saginaw Street, Flint, MI 48505 | 2016-09-29 |
| 1710513007 | Anne Marie Moore | Dental Hygienist | G5399 N Saginaw St, Flint, MI 48505-1536 | 2020-03-18 |
| 1538632740 | Darren Troy Moore | Dental Hygienist | 806 Tuuri Pl, Flint, MI 48503-2465 | 2019-01-10 |
| 1265905855 | Michelle Pattan | Dental Hygienist | 806 Tuuri Pl, Flint, MI 48503-2465 | 2019-01-07 |
| 1508365594 | Courtney Martinski | Dental Hygienist | G3222 Beecher Rd, Flint, MI 48532-3614 | 2018-02-06 |
| 1003315094 | Jodell Denno | Dental Hygienist | G3222 Beecher Rd, Flint, MI 48532-3614 | 2018-02-06 |
| 1457850448 | Ashley Peterson | Dental Hygienist | G3222 Beecher Rd, Flint, MI 48532-3614 | 2018-02-06 |
| 1427557412 | Kristen Warington | Dental Hygienist | G3222 Beecher Rd, Flint, MI 48532-3614 | 2018-02-06 |
| 1467849109 | Lisa Ann Whitehead | Dental Hygienist | 806 Tuuri Pl, Flint, MI 48503-2465 | 2015-04-21 |
| Find all providers in FLINT | ||||
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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.