MARYBETH RENEE FEDORCHAK (NPI# 1780041954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780041954 |
| Entity Type | Individual |
| Full Name | MARYBETH RENEE FEDORCHAK |
| Credential | RDH |
| Practice Address |
7280 Bradburn Blvd Westminster CO 80030-5224 |
| Practice Telephone | 3034296222 |
| Practice Fax Number | 3034297247 |
| Mailing Telephone | 3034296222 |
| Mailing Fax Number | 3034297247 |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2016-01-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 1606 | CO | Dental Providers |
| Street Address |
7280 BRADBURN BLVD |
| City | WESTMINSTER |
| State | CO |
| Zip Code | 80030-5224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881881795 | John O Bertagnolli | Dentist | 7280 Bradburn Blvd, Westminster, CO 80030-5224 | 2007-09-25 |
| 1689031437 | Christian Rodriguez | Dental Hygienist | 7280 Bradburn Blvd, Westminster, CO 80030-5224 | 2016-01-25 |
| 1982008819 | Edward Bertagnolli | Dentist | 7280 Bradburn Blvd, Westminster, CO 80030-5224 | 2014-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245850114 | 92nd & Wads Comfort Partners | Dentist | 7743 W. 92nd Avenue, Westminster, CO 80030 | 2020-04-21 |
| 1073075255 | Thony Nguyen | Pharmacist | 7170 N. Federal Blvd, Westminster, CO 80030 | 2019-04-05 |
| 1952708877 | Edward J. Bertagnolli, Dds, PC | Dentist | 7280 Bradburn Blvd., Westminster, CO 80030 | 2014-11-20 |
| 1215362165 | Denver Urgent Care | Clinic/Center | 5165 West 72nd Avenue, Westminster, CO 80030 | 2013-09-11 |
| 1750603601 | Joanne Marion | Pharmacist | 6400 W 92nd Ave., Westminster, CO 80030 | 2010-02-19 |
| 1205167632 | Robert Steele | Respiratory Therapist, Registered | 280 Exempla Cr, Lafayette, CO 80030 | 2010-01-25 |
| 1225288624 | Jordan Muell | Physician Assistant | 2551 W. 84th Ave., Emergency Department, Westminster, CO 80030 | 2008-09-23 |
| 1801018072 | Gerald J Thalken | Dentist | 5130 West 80th Ave, Bldg A Suite 200, Westminster, CO 80030 | 2007-05-03 |
| 1295956373 | Linda Jean Steece | Counselor | 4800 W 80th Ave, #140, Westminster, CO 80030 | 2007-05-02 |
| 1326260142 | Milburn Enterprise Inc | Assisted Living Facility | 8823 Princeton St, Westminster, CO 80030 | 2007-05-02 |
| Find all providers in zip 80030 | ||||
| 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 |
|---|---|---|---|---|
| 1477051431 | Shelby Lynne Franklin | Dental Hygienist | 4520 W 90th Ave, Westminster, CO 80031-6434 | 2018-01-24 |
| 1831604370 | Valerie Lynne Seger | Dental Hygienist | 302 Greengate Ct, Westminster, MD 21158-4204 | 2017-12-06 |
| 1629595665 | Devon Payne | Dental Hygienist | 8030 Decatur Ct, Westminster, CO 80031-4166 | 2017-08-29 |
| 1770952509 | Jenny Tuyet Nguyen | Dental Hygienist | 7544 Ivy Ave, Westminster, CA 92683-9307 | 2015-09-22 |
| 1588098719 | Lisa Marie Valdez | Dental Hygienist | 9030 W 94th Ave, Westminster, CO 80021-4390 | 2013-08-23 |
| 1346557329 | Jennifer Marie Silveira | Dental Hygienist | 5262 Saint George Rd, Westminster, CA 92683-4147 | 2010-09-11 |
| 1285246777 | Catholic Health Initiatives Colorado | Dental Hygienist | 2551 W 84th Ave, Westminster, CO 80031-3807 | 2020-08-18 |
| 1700443934 | Courtney Kelley | Dental Hygienist | 2761 W 120th Ave, Westminster, CO 80234-2975 | 2019-05-23 |
| 1235698820 | Nhan Dang Nguyen Dental Corporation | Dental Hygienist | 9972 Bolsa Ave Ste 102, Westminster, CA 92683-6069 | 2019-03-14 |
| 1689031437 | Christian Rodriguez | Dental Hygienist | 7280 Bradburn Blvd, Westminster, CO 80030-5224 | 2016-01-25 |
| Find all providers in WESTMINSTER | ||||
| City | WESTMINSTER |
| Zip Code | 80030 |
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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.