MALLORY ANDERSON


Address: 100 Cherry St Se, Grand Rapids, MI 49503-4526
Phone: 6169658200

MALLORY ANDERSON (NPI# 1912551219) 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) 1912551219
Entity Type Individual
Full Name MALLORY ANDERSON
Practice Address 100 Cherry St Se
Grand Rapids
MI 49503-4526
Practice Telephone 6169658200
Mailing Telephone 6169658200
Enumeration Date 2019-07-25
Last Update Date 2019-07-25
Gender Code F
Is Sole Proprietor N

Taxonomy

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

Other Providers MALLORY ANDERSON

NPI Name Taxonomy Address Enumeration
1205396413 Mallory Anderson Behavior Technician 201 Lila Ln, Burlington, WA 98233-3320 2019-03-22
1215330873 Mallory Christine Anderson Naturopath 26401 Pacific Hwy S Ste 101, Des Moines, WA 98198-9247 2014-09-26
1104166255 Mallory Bunton Anderson Nurse Practitioner 131 Summerplace Dr, West Columbia, SC 29169-3058 2013-02-27
1063763480 Mallory A. Anderson Registered Nurse 6162 S Willow Dr, Suite 100, Greenwood Village, CO 80111-5113 2012-09-25

Office Location

Street Address 100 CHERRY ST SE
City GRAND RAPIDS
State MI
Zip Code 49503-4526

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033182894 Mary P Chelsky Optometrist 100 Cherry St Se, Grand Rapids, MI 49503-4526 2006-02-10
1043837925 Mawada Osman Optometrist 100 Cherry St Se, Grand Rapids, MI 49503-4526 2020-06-26
1922637651 Dominic Reihl Student in an Organized Health Care Education/Training Program 100 Cherry St Se, Grand Rapids, MI 49503-4526 2020-04-04
1578108155 Susan Jean Hutson Dental Assistant 100 Cherry St Se, Grand Rapids, MI 49503-4526 2019-11-07
1639711013 Kelsey Renee Butcher Registered Nurse 100 Cherry St Se, Grand Rapids, MI 49503-4526 2019-10-17
1669025888 Rachel Owen Nurse Practitioner 100 Cherry St Se, Grand Rapids, MI 49503-4526 2019-07-17
1255993481 Nicholae Brown Dentist 100 Cherry St Se, Grand Rapids, MI 49503-4526 2019-07-09
1659931020 Maria E Sicco Optometrist 100 Cherry St Se, Grand Rapids, MI 49503-4526 2019-06-18
1245894385 Allison Lynn-yung Vankampen Social Worker 100 Cherry St Se, Grand Rapids, MI 49503-4526 2019-04-24
1215590195 Chelsea Lela Hawkins Social Worker 100 Cherry St Se, Grand Rapids, MI 49503-4526 2019-04-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801496195 Airway Oxygen, Inc. Durable Medical Equipment & Medical Supplies Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 2020-10-27
1730707282 Adriana Molina-schmuker Counselor 901 Eastern Avenue Ne, Grand Rapids, MI 49503 2020-07-10
1477176949 Kimberly Buskirk Specialist 1131 Ionia Ava Nw, Grand Rapids, MI 49503 2020-05-19
1124647805 Jared Host Speech-Language Pathologist Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 2020-04-13
1265061378 Heather Gladfelter Student in an Organized Health Care Education/Training Program 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 2020-04-02
1194368647 Amy Jo Arends Nurse Practitioner 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 2019-10-28
1376185199 Beth Arce Occupational Therapist 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 2019-10-14
1295387256 Althea Ziolkowski Licensed Practical Nurse Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 2019-07-10
1790340719 Heather Anne Fox Occupational Therapist Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 2019-05-06
1184182883 April L Kaiserlian Social Worker 983 Spaulding Ave Ne, Ada, MI 49503 2019-03-12
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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
1407221427 Emily Kose Dental Hygienist 550 Cherry Street, Grand Rapids, MI 49503-4748 2015-12-02
1700250826 Melissa O'dell Dental Hygienist 1904 Lynne Ln Nw, Grand Rapids, MI 49504-6029 2015-12-01
1922473057 Jodi Basiaga Dental Hygienist 2843 Vistaview Dr Nw, Grand Rapids, MI 49544-8204 2015-12-01
1205208667 Jeanette Vanoeffelen Dental Hygienist 101 Sheldon Se, Grand Rapids, MI 49503 2015-10-26
1417354077 Kelly Kathleen Bearss Dental Hygienist 6715 Old 28th St Se, Grand Rapids, MI 49546-6923 2014-11-25
1952916710 Amy Lynn Jones Dental Hygienist 717 Georgia Ct Ne, Grand Rapids, MI 49525-2180 2020-09-09
1861024325 Michelle Lynn Heeren Dental Hygienist 550 Cherry St Se, Grand Rapids, MI 49503-4748 2020-02-12
1366004913 Margaret Jane Vandenbosch Dental Hygienist 2060 Division Ave S, Grand Rapids, MI 49507-3029 2019-07-03
1497317036 Deborah Lynn Schorr Dental Hygienist 2060 Division Ave S, Grand Rapids, MI 49507-3029 2019-07-03
1659835486 Michelle Enos Dental Hygienist 100 Cherry St Se, Grand Rapids, MI 49503-4526 2019-01-25
Find all providers in GRAND RAPIDS

Competitor

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City GRAND RAPIDS
Zip Code 49503

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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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