KELLIE HAVRILAK (NPI# 1902026933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902026933 |
| Entity Type | Individual |
| Full Name | KELLIE HAVRILAK |
| Practice Address |
9550 Forest Ln Ste 700 Dallas TX 75243-5905 |
| Practice Telephone | 2143485505 |
| Mailing Telephone | 2143485505 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 7903 | TX | Dental Providers |
| Street Address |
9550 FOREST LN STE 700 |
| City | DALLAS |
| State | TX |
| Zip Code | 75243-5905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891746673 | Sharon J. Anderson | Psychologist | 9550 Forest Ln, Ste #114, Dallas, TX 75243-5992 | 2006-05-15 |
| 1497111306 | Helen's Project | Meals | 9550 Forest Ln, Dallas, TX 75243-5905 | 2016-01-07 |
| 1659750396 | Lisa Sipes | Counselor | 9550 Forest Ln, Building 1, Suite 116, Dallas, TX 75243-5905 | 2015-05-27 |
| 1831592393 | Forest Drug Store LLC | Pharmacy | 9550 Forest Ln, Suite 606, Dallas, TX 75243-5905 | 2014-09-29 |
| 1902221666 | Forest Clinica Familiar, LLC | Family Medicine | 9550 Forest Ln, Suite 606, Dallas, TX 75243-5905 | 2014-03-04 |
| 1982036935 | Forest Clinica Familiar LLC | General Practice | 9550 Forest Ln, Suite 606, Dallas, TX 75243-6176 | 2013-08-01 |
| 1033553896 | George Charles Ozor | Chiropractor | 9550 Forest Ln, 508, Dallas, TX 75243 | 2013-04-24 |
| 1962752766 | Stafford Family Dentistry | Dentist | 9550 Forest Ln, Suite700, Dallas, TX 75243-5905 | 2012-09-19 |
| 1821396565 | First Serenity Home Health Care, Inc. | Home Health | 9550 Forest Ln, Ste. 715-d, Dallas, TX 75243-6181 | 2011-03-04 |
| 1659673432 | Refreshing Dental Care Pllc | Dentist | 9550 Forest Ln, Suite 700, Dallas, TX 75243-5905 | 2010-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558970830 | Nnamdi Okorie | Licensed Vocational Nurse | [email protected], 13427 Hedgeapple Dr, Dallas, TX 75243 | 2020-07-23 |
| 1629627716 | Mohammad Mehdi Imani Emadi | Dentist | 11970 N Central Expy # 430, Dallas, TX 75243 | 2019-09-10 |
| 1295221786 | Cornerstonemd,pllc | Obstetrics & Gynecology | 12222 N Central Expy Ste 140, Dallas, TX 75243 | 2018-07-08 |
| 1033609292 | Mother Earth Healthcare Services Inc | Home Health | 9821 Summerwood Cir Apt 1701, Dallas, TX 75243 | 2018-05-14 |
| 1346742822 | Chioma Ifeji | Licensed Vocational Nurse | 13317 Daystrom Court, Dallas, TX 75243 | 2018-03-01 |
| 1598282865 | Kimberly Ann Whitney | Social Worker | 11520 N Central Expy Ste 254, Dallas, TX 75243 | 2017-08-27 |
| 1962934083 | Dignity Private Care, LLC | In Home Supportive Care | 8330 Lbj Freeway, Ste 720, Dallas, TX 75243 | 2017-03-29 |
| 1699214569 | Vitalis Home Health LLC | Home Health | 9821 Summerwood Cir Apt 1308, Dallas, TX 75243 | 2017-02-13 |
| 1881130946 | Proniles | Non-emergency Medical Transport (VAN) | 12611 Hornbeam Dr, Dallas, TX 75243 | 2017-01-13 |
| 1194273664 | Osman W Awdallah | Non-emergency Medical Transport (VAN) | 12611 Hornbeam Drive, Dallas, TX 75243 | 2016-09-14 |
| Find all providers in zip 75243 | ||||
| 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 |
|---|---|---|---|---|
| 1598196479 | Claudine Love Stevenson | Dental Hygienist | 1250 Se Godsey Rd Apt 97, Dallas, OR 97338-2797 | 2013-12-03 |
| 1992138945 | Julie Ann Gragg | Dental Hygienist | 193 Se Hankel St, Dallas, OR 97338-1515 | 2013-08-14 |
| 1427286764 | Sarah Elizabeth Bryant | Dental Hygienist | 10405 East Northwest Highway, Suite #301, Dallas, TX 75238 | 2009-06-25 |
| 1083100663 | Holly Deann Blank | Dental Hygienist | 11805 Neering Dr, Dallas, TX 75218-1929 | 2018-07-06 |
| 1699025908 | Christine Marie Collery | Dental Hygienist | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2012-09-13 |
| 1649500711 | Hector Ivan Marrero | Dental Hygienist | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2010-01-12 |
| 1912134610 | Vanessa Ann Johnson | Dental Hygienist | 10405 E Northwest Hwy, #301, Dallas, TX 75238-4619 | 2009-06-19 |
| 1417184250 | Angela Rena Kennedy Alcorn | Dental Hygienist | 11661 Preston Rd Ste 104, Dallas, TX 75230-6196 | 2009-06-19 |
| 1124255419 | Nikki Dee Elliott | Dental Hygienist | 9550 Forest Ln, Suite 700, Dallas, TX 75243-5905 | 2009-06-15 |
| 1699902056 | Alisha Diane Bell | Dental Hygienist | 9550 Forest Ln, Dallas, TX 75243-5905 | 2009-06-12 |
| Find all providers in DALLAS | ||||
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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.