MARTINE GNEME ZOUMANIGUI (NPI# 1801222542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801222542 |
Entity Type | Individual |
Full Name | MARTINE GNEME ZOUMANIGUI |
Practice Address |
21343 Archibald Road Deerwood MN 56444 |
Mailing Address |
400 3rd St S Apt 120 Sartell MN 56377-4749 |
Practice Telephone | 2185343141 |
Enumeration Date | 2013-09-25 |
Last Update Date | 2013-09-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 125J00000X | Dental Therapist | DT21 | MN | Dental Providers |
Street Address |
21343 ARCHIBALD ROAD |
City | DEERWOOD |
State | MN |
Zip Code | 56444 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578667937 | James Daniel Strampe | Dentist | 21343 Archibald Road, Deerwood, MN 56444 | 2006-09-07 |
1043567357 | Northland Smiles Corporation Pa | Clinic/Center | 21343 Archibald Road, Deerwood, MN 56444 | 2012-08-07 |
1023397429 | Youssef Samir Abou Atme | Dentist | 21343 Archibald Road, The Smile Center, Deerwood, MN 56444 | 2011-08-16 |
1861796013 | Molly Rebecca Gervich | Dentist | 21343 Archibald Road, Deerwood, MN 56444 | 2011-01-03 |
1639482474 | Jaime Beth Waller | Dentist | 21343 Archibald Road, Deerwood, MN 56444 | 2010-07-21 |
1679700942 | Kendall Lewis Dammeier | Dentist | 21343 Archibald Road, Deerwood, MN 56444 | 2009-06-15 |
1992991004 | Amith Kula Shetty | Dentist | 21343 Archibald Road, Deerwood, MN 56444 | 2007-09-21 |
1730262585 | Deerwood Dental, Inc | Clinic/Center | 21343 Archibald Road, Deerwood, MN 56444-0385 | 2006-10-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063972271 | Northland Smiles Little Falls, Pa | Clinic/Center | 306 13th St Ne, Little Falls, MN 56444 | 2019-03-22 |
1114253804 | Stephanie Louise Vandal | Doula | 22377 Linden Street, Deerwood, MN 56444 | 2009-10-30 |
1841349164 | Minnesota Mobility Systems Inc. | Durable Medical Equipment & Medical Supplies | 21279 Archibald Road, Deerwood, MN 56444 | 2007-01-09 |
1043329642 | Bradford J Pugh | Dentist | 21343 Archibald Rd, Deerwood, MN 56444 | 2006-08-29 |
1851400097 | Padmanjali Batthula | Dentist | 21343 Archibald Rd, Deerwood, MN 56444 | 2006-08-30 |
1558470153 | Edward L Silker | Dentist | 21343 Archibald Rd, Deerwood, MN 56444 | 2006-08-29 |
1528511706 | Anna Carr | Dentist | 21343 Archibald Rd, Deerwood, MN 56444-2200 | 2016-07-25 |
1700084076 | Dominador B Soriano | Family Medicine | 22535 Beach Rd, Deerwood, MN 56444-6191 | 2007-07-06 |
1043638877 | Emily Branum | Occupational Therapist | 22117 Ministers Point Rd, Deerwood, MN 56444-6195 | 2014-03-29 |
1942440441 | Central Minnesota Home Care, Inc. | In Home Supportive Care | 22413 State Highway 6, 200, Deerwood, MN 56444-6245 | 2009-02-24 |
Find all providers in zip 56444 |
Taxonomy Code | 125J00000X |
Grouping | Dental Providers |
Classification | Dental Therapist |
A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations. |
Notes: Source: Summarized from Minnesota Statute 150A.105. [7/1/2012: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487264446 | Amber Nichelle Irby | Dental Therapist | 903 W Center St #130, Rochester, MN 55902 | 2020-08-05 |
1558835942 | Jennifer Iacobelli | Dental Therapist | 13899 Highway 13 South Frontage Road, Savage, MN 55378 | 2019-01-18 |
1992288781 | Katie Ask | Dental Therapist | 13889 Highway 13 S, Frontage Rd, Savage, MN 55378 | 2018-09-08 |
1487154092 | Sunny Moon | Dental Therapist | 10584 France Ave S, Bloomington, MN 55431-3538 | 2018-02-20 |
1326548454 | Julie Bonham | Dental Therapist | 803 3rd St. Se, Suite 330, Little Falls, MN 56345 | 2018-02-15 |
1376077974 | Saritha Gajawada | Dental Therapist | 15354 Plumstone Dr, Eden Prairie, MN 55347-2061 | 2017-04-20 |
1649644063 | Brittany Gronland | Dental Therapist | 25730 Smithtown Rd, Excelsior, MN 55331-8592 | 2015-11-23 |
1124405857 | Jenna Susanne Marquardt | Dental Therapist | 209 South 1st Street, Montevideo, MN 56265 | 2015-05-01 |
1558751495 | Weston Mark Schmidt | Dental Therapist | 411 East Howard St., Jacobson Family Dentistry PC, Hibbing, MN 55746 | 2015-01-30 |
1003230137 | Janelle Jehn | Dental Therapist | 4342 4th Ave S, Minneapolis, MN 55409-2155 | 2014-02-10 |
Find all providers with the same taxonomy |
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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.