ANNALISA TIETJEN I


Address: 714 Ave C, Fort Pierce, FL 32909
Phone: 7724623800

ANNALISA TIETJEN I (NPI# 1932506227) 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) 1932506227
Entity Type Individual
Full Name ANNALISA TIETJEN I
Practice Address 714 Ave C
Fort Pierce
FL 32909
Mailing Address 5150 Nw Milner Dr
Port Saint Lucie
FL 34983-3392
Practice Telephone 7724623800
Practice Fax Number 7724623801
Mailing Telephone 7724623800
Mailing Fax Number 7724623801
Enumeration Date 2014-12-02
Last Update Date 2014-12-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist DH17092 FL Dental Providers

Office Location

Street Address 714 AVE C
City FORT PIERCE
State FL
Zip Code 32909

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1194195016 Dawn Goodwin Pharmacist 3450 Bayside Lakes Shopping Center, Palm Bay, FL 32909 2015-10-05
1124407796 Jorge Ortiz Physical Therapist 470 Malabar Rd Se, Ste 102, Palm Bay, FL 32909 2015-05-28
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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
1922635952 Rosanna L Walker Dental Hygienist 714 Avenue C, Fort Pierce, FL 34950-4189 2020-03-27
1689157182 Violeta Trujillo Garcia Dental Hygienist 714 Avenue C, Fort Pierce, FL 34950-4189 2018-09-11
1366969107 Faten Mustafa Dental Hygienist 714 Avenue C, Fort Pierce, FL 34950-4189 2017-08-23
1407253602 Patricia Lowe Dental Hygienist 714 Avenue C, Fort Pierce, FL 34950-4189 2014-12-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1164037453 Mary Kate Pace Dental Hygienist 1115 N Eglin Pkwy, Shalimar, FL 32579-1228 2020-09-13
1578173910 Kimberly Beck Dental Hygienist 18030 Sandtrap Dr, Naples, FL 34114-7596 2020-07-31
1962012328 Melody Jean Garcia Dental Hygienist Navy Medicene Support Command : Medical Staff Services, Bldg H, 2005 Knight Lane, Jacksonville, FL 32221-0140 2020-07-31
1043829385 Mailyn Cortes Dental Hygienist 1134 Sw 12th Ct, Miami, FL 33135-5418 2020-07-22
1841817988 Polly Ward Dental Hygienist 1022 Main St Ste P, Dunedin, FL 34698-5225 2020-07-04
1760007959 Leanne Crist Nichol Dental Hygienist 6957 Boulder Run Loop, Wesley Chapel, FL 33545-4854 2020-06-12
1124641337 Rhoda P Kublickis Dental Hygienist 274 Tropic Dr, Lauderdale By The Sea, FL 33308-5428 2020-05-21
1306468533 Heather Paul Dental Hygienist 8839 Handel Loop, Land O Lakes, FL 34637 2020-05-11
1902426729 Jose Dalby Contreras Dental Hygienist 690 Sw 1st Ct Apt 2319, Miami, FL 33130-2927 2020-04-22
1659991974 Maggie Cruciata Dental Hygienist 974 International Pkwy, Lake Mary, FL 32746-5219 2020-04-17
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Competitor

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City FORT PIERCE
Zip Code 32909

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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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