BOBBIE JO KLUCEWICH (NPI# 1780125799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780125799 |
| Entity Type | Individual |
| Full Name | BOBBIE JO KLUCEWICH |
| Credential | RDH |
| Practice Address |
5202 Mainview Dr Missoula MT 59803-3120 |
| Practice Telephone | 2088692460 |
| Mailing Telephone | 2088692460 |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2017-03-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DEN-RDH-LIC-7932 | MT | Dental Providers |
| Street Address |
5202 MAINVIEW DR |
| City | MISSOULA |
| State | MT |
| Zip Code | 59803-3120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700383940 | Kelsey Hamilton | Massage Therapist | 6945 Linda Vista Blvd, Missoula, MT 59803 | 2018-04-12 |
| 1225381205 | Missoula Valley Medical | Durable Medical Equipment & Medical Supplies | 3295 Cathy Ct, Missoula, MT 59803 | 2012-10-16 |
| 1790054336 | Jeffrey Michael Engel | Chiropractor | 1001 Sw Higgins Ave Ste 102, Missoula, MT 59803 | 2011-12-28 |
| 1245483338 | Carl Sivage | Pharmacist | 6035 Miller Creek Road, Missoula, MT 59803 | 2008-11-03 |
| 1356542161 | Patricia A. Lincoln | Counselor | 157 Meadowlark Ct, Missoula, MT 59803 | 2007-05-30 |
| 1295949493 | Rich Danielson | Physical Therapist | 3031 S. Russell, Suite #5, Missoula, MT 59803 | 2007-05-09 |
| 1720208226 | Cole L Macpherson | Dentist | 901 Sw Higgins, Missoula, MT 59803 | 2007-04-26 |
| 1336274109 | Robert James Whalen | Dentist | 690 Sw Higgins, Suite G, Missoula, MT 59803 | 2007-02-22 |
| 1679628671 | Pamela Marie Clausen | Counselor | 1001 Sw Higgins Ave, Suite 206, Missoula, MT 59803 | 2007-01-23 |
| 1255496386 | Kathleen Schroeder Roth | Dentist | 725 Sw Higgins Ave, Missoula, MT 59803 | 2006-12-27 |
| Find all providers in zip 59803 | ||||
| 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 |
|---|---|---|---|---|
| 1164986691 | Orianne Allison | Dental Hygienist | Curry Health Center 634 Eddy Ave, Missoula, MT 59812-0001 | 2019-01-29 |
| 1861916231 | Rachel Diane Hansen | Dental Hygienist | 2901 Brooks St Ste A1, Missoula, MT 59801-7723 | 2017-07-27 |
| 1134599574 | Karen Thomas | Dental Hygienist | 2419 Duncan Dr, Missoula, MT 59802-3155 | 2015-09-28 |
| 1992183081 | Jo Scandrett Persons | Dental Hygienist | 401 Railroad W St, Missoula, MT 59802-4109 | 2015-05-11 |
| 1376948125 | Carla Mccolly | Dental Hygienist | 1600 St Andrews Way, Missoula, MT 59808-8681 | 2014-10-22 |
| 1376956573 | Christine Armstrong | Dental Hygienist | 27 Columbine Ct, Missoula, MT 59802-3325 | 2014-06-04 |
| 1437490612 | Heidi Lynn Halverson | Dental Hygienist | 1710 Lenore Ct, Missoula, MT 59804-4723 | 2013-03-12 |
| 1790078319 | Julie Kubik | Dental Hygienist | 4620 Rattlesnake Dr, Missoula, MT 59802-3019 | 2011-05-17 |
| 1083839500 | Minnette Aldeen Read | Dental Hygienist | Curry Health Center Dental Clinic, 634 Eddy Ave, Missoula, MT 59812-1851 | 2007-04-17 |
| 1427550227 | Holly Anne Pantaloni | Dental Hygienist | 401 Railroad St W, Missoula, MT 59802-4109 | 2018-03-07 |
| Find all providers in MISSOULA | ||||
Please comment or provide details below to improve the information on BOBBIE JO KLUCEWICH.
| 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.