MARTINE GNEME ZOUMANIGUI


Address: 21343 Archibald Road, Deerwood, MN 56444
Phone: 2185343141

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 125J00000X Dental Therapist DT21 MN Dental Providers

Office Location

Street Address 21343 ARCHIBALD ROAD
City DEERWOOD
State MN
Zip Code 56444

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 125J00000X
Grouping Dental Providers
Classification Dental Therapist

Taxonomy Definition

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]

Providers in the same taxonomy and state

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

Competitor

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City DEERWOOD
Zip Code 56444

Improve Information

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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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