CANDACE NICCOLSON


Address: 6546 Flanders Dr, Newark, CA 94560-1163
Phone: 5103041284

CANDACE NICCOLSON (NPI# 1942628474) 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) 1942628474
Entity Type Individual
Full Name CANDACE NICCOLSON
Credential RDHAP
Practice Address 6546 Flanders Dr
Newark
CA 94560-1163
Practice Telephone 5103041284
Mailing Telephone 5103041284
Enumeration Date 2014-04-01
Last Update Date 2014-04-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist HAP340 CA Dental Providers

Office Location

Street Address 6546 FLANDERS DR
City NEWARK
State CA
Zip Code 94560-1163

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1700295466 Juan Emanuel Tan Santos Dentist 5270 Newpark Mall Road, Newark, CA 94560 2014-08-07
1063761146 Sarah Larae Devoe Scribner Physical Therapist 5600 John Muir Road, Newark, CA 94560 2012-09-05
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1083931836 Susan Elizabeth Hanaburgh Marriage & Family Therapist 39899 Balentine Drive #212, Family Service of The Tri-cities, Newark, CA 94560 2010-05-03
1306098694 Maria Isabelle Santos Tuohy Dentist 5270 Newpark Plaza, Newark, CA 94560 2008-10-17
1699955765 Jaspreet Kaur Harika Dentist 39736 Cedar Blvd, Newark, CA 94560 2007-11-06
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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
1023561602 Kohli Dental Corp Dental Hygienist 5910 Thornton Ave Ste D, Newark, CA 94560-3800 2016-07-29
1578915534 Nancy Brohawn Dental Hygienist 39 Country Hills Dr, Newark, DE 19711-2517 2016-07-01
1548663040 Janice Large Dental Hygienist 675 Price Rd, Newark, OH 43055-9506 2014-09-29
1922526227 Helen Mengstu Dental Hygienist 675 Price Rd, Newark, OH 43055-9506 2017-09-07
1518407873 Kayla Guido Dental Hygienist 110 William St, Newark, NJ 07102-1304 2017-03-06
1801212725 Christine Gomes Dental Hygienist 22 Downing St, Newark, NJ 07105-2314 2014-03-16
1750650859 Marissa Anne Fanelli Dental Hygienist 741 Broadway, Newark, NJ 07104-4309 2011-12-19
1730226242 Luz M Moreno Dental Hygienist 239 Elm St, Newark, NJ 07105-1720 2007-01-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1346841046 Betty Satomi Fukumoto Dental Hygienist 16008 S Manhattan Pl, Gardena, CA 90247-3681 2020-11-08
1417558180 Maria Antonette De Lara Kim Dental Hygienist 66 S San Gorgonio Ave Ste 5, Banning, CA 92220-6020 2020-11-07
1083215982 Sokbunntha Yan Dental Hygienist 5810 Fidler Ave, Lakewood, CA 90712-1251 2020-11-06
1649871914 Maryam Ghahramani Shahneshin Dental Hygienist 1961 Grove Pl, Escondido, CA 92027-4101 2020-11-04
1285234047 Maryann Detar Dental Hygienist 3154 Alum Rock Ave, San Jose, CA 95127-2903 2020-10-29
1194325597 Connie Lim Good Dental Hygienist 14th Street Bldg 13128, Oceanside, CA 92055 2020-10-27
1336748896 Cynthia Garcia Macdougall Dental Hygienist 444 Hermosa Ave Apt 302, Hermosa Beach, CA 90254-4433 2020-10-25
1346849163 Ambrosia Evon Steljes Dental Hygienist Building 13128 14th Street, Camp Pendleton, CA 92055-5221 2020-10-22
1427657261 Julie Lynn March Dental Hygienist 19871 Mitscher Way Bldg 2495, San Diego, CA 92145-5103 2020-10-22
1386243327 Leticia Isabel Alcantar Dental Hygienist Bldg 520448, Camp Pendleton, CA 92055 2020-10-21
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Competitor

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City NEWARK
Zip Code 94560

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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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