MRS. ALISHA MARIE LARSON


Address: 29 Black Coal Drive, Fort Washakie, WY 82514
Phone: 3073323527

MRS. ALISHA MARIE LARSON (NPI# 1780842526) 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) 1780842526
Entity Type Individual
Full Name MRS. ALISHA MARIE LARSON
Credential RDH BS
Practice Address 29 Black Coal Drive
Fort Washakie
WY 82514
Mailing Address 1210 Mcdougall Dr
Lander
WY 82520-3531
Practice Telephone 3073323527
Mailing Telephone 3073355960
Enumeration Date 2008-05-29
Last Update Date 2008-05-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist 747 WY Dental Providers

Office Location

Street Address 29 BLACK COAL DRIVE
City FORT WASHAKIE
State WY
Zip Code 82514

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366097198 Vanessa Sorrels Pharmacist 29 Black Coal Drive, Fort Washakie, WY 82514 2019-08-08
1730673823 Darlene Lucy Kozlowski Radiology 29 Black Coal Drive, Fort Washakie, WY 82514 2018-06-21
1780171298 Kyle Baker Physical Therapist 29 Black Coal Drive, Fort Washakie, WY 82514 2018-04-19
1205235330 David Thatch Spec/Tech, Pathology 29 Black Coal Drive, Fort Washakie, WY 82514 2014-08-14
1821414475 Garth Nelson Foster Physical Therapist 29 Black Coal Drive, Fort Washakie, WY 82514 2014-03-06
1205260502 Jeremy C Norton Nurse Practitioner 29 Black Coal Drive, Fort Washakie, WY 82514 2013-08-23
1710224837 Julie Ann Smith Technician, Pathology 29 Black Coal Drive, Fort Washakie, WY 82514 2013-01-09
1245501808 Holly Ann Daverin Dental Hygienist 29 Black Coal Drive, Fort Washakie Dental Clinic, Fort Washakie, WY 82514-0128 2012-01-13
1689963233 Becky Bappe Spec/Tech, Pathology 29 Black Coal Drive, Fort Washakie Health Center Lab, Fort Washakie, WY 82514 2011-04-05
1215233168 Jill Renee Erickson Dental Hygienist 29 Black Coal Drive, Fort Washakie, WY 82514 2011-02-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619527819 Melissa Rose Pine Registered Nurse 29 Blackcole Road, Fort Washakie, WY 82514 2019-09-19
1982116794 Madonna Lee Kienlen Peer Specialist 215 Ethete Road, Ft. Washakie, WY 82514 2017-11-02
1649789025 Rebecca Charlene Willis Technician, Other Fort Washakie Healt Center Lab Ihs 29 Black Coal Drive, Fort Washakie, WY 82514 2017-09-28
1033553185 Pauline Elizabeth Powers-peprah Family Medicine 29 Black Cole, Fort Washakie, WY 82514 2013-04-19
1528319373 Amanda L Schultz Licensed Practical Nurse 110 Sharpnose Road, Fort Washakie, WY 82514 2012-09-19
1770898140 Kelly Lynne Pretty Weasel Clinic/Center 29 Blackcole Dr, Fort Washakie, WY 82514 2010-08-10
1285950170 Debra Kay Waters Technician, Pathology Black Coal Rd. Bldg. 29, Ft. Washakie, WY 82514 2010-04-16
1881919751 Shoshone & Arapaho Tribal Substance Abuse Court Clinic/Center 215 Ethete Rd, Fort Washakie, WY 82514 2010-04-02
1770814253 Christopher G Nelson Spec/Tech, Pathology 29 Black Coal Rd, Ft. Washakie, WY 82514 2010-01-22
1922339449 Nina Williams Spec/Tech, Pathology Black Coal Rd Bldg 29, Ft Washakie, WY 82514 2010-01-22
Find all providers in zip 82514

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
1245501808 Holly Ann Daverin Dental Hygienist 29 Black Coal Drive, Fort Washakie Dental Clinic, Fort Washakie, WY 82514-0128 2012-01-13
1215233168 Jill Renee Erickson Dental Hygienist 29 Black Coal Drive, Fort Washakie, WY 82514 2011-02-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1114578770 Jennifer Turner Dental Hygienist 1845 Lennox Ave, Casper, WY 82601-4946 2019-09-25
1366502726 Cotant Family Dentistry, P.C. Dental Hygienist 112 High Street, Buffalo, WY 82834 2006-12-08
1346504677 Tammie Ann Madson Dental Hygienist 1898 Fort Rd, Sheridan, WY 82801-8320 2012-07-02
1346543188 Cynthia Collins Wise Dental Hygienist 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 2010-12-17
1215266762 Emily J Claunch Dental Hygienist 1020 S Conwell St, Casper, WY 82601-3921 2009-12-11
1992966444 Andrea M Tuma Dental Hygienist 1020 S Conwell St, Casper, WY 82601-3921 2008-06-18
1770600371 Jessica Cooper Dental Hygienist 1300 E A St, Casper, WY 82601-2260 2007-03-26
1619094323 Stacy Smith Dental Hygienist 1300 E A St, Suite 208, Casper, WY 82601-2260 2007-03-26
1316084239 Peggy Sue Kenyon Dental Hygienist 6900 Alden Dr, Ft Warren Afb, WY 82005-3906 2007-01-31

Competitor

Search similar providers

City FORT WASHAKIE
Zip Code 82514

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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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