AMY BETH VANDERLUGT (NPI# 1952658767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952658767 |
Entity Type | Individual |
Full Name | AMY BETH VANDERLUGT |
Credential | RDH |
Practice Address |
3019 Coit Ave Ne Grand Rapids MI 49505-3376 |
Practice Telephone | 6163657526 |
Mailing Telephone | 6163657526 |
Enumeration Date | 2012-08-10 |
Last Update Date | 2012-08-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | 2902012755 | MI | Dental Providers |
Street Address |
3019 COIT AVE NE |
City | GRAND RAPIDS |
State | MI |
Zip Code | 49505-3376 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700830684 | Erik Kooyer | Internal Medicine | 3019 Coit Ave Ne, Grand Rapids, MI 49505-3376 | 2006-05-22 |
1508262304 | Scott Michael Kass | Optometrist | 3019 Coit Ave Ne, Grand Rapids, MI 49505-3376 | 2014-11-06 |
1821419045 | Sarah Mallis | Psychologist | 3019 Coit Ave Ne, Grand Rapids, MI 49505-3376 | 2013-12-16 |
1033467212 | Nicholas James Liimatta | Audiologist | 3019 Coit Ave Ne, Grand Rapids, MI 49505-3376 | 2012-08-21 |
1023313640 | Susan L Clark | Physical Therapy Assistant | 3019 Coit Ave Ne, Grand Rapids, MI 49505-3376 | 2011-01-12 |
1235434952 | Amy Marie Easey | Physical Therapy Assistant | 3019 Coit Ave Ne, Grand Rapids, MI 49505-3376 | 2011-01-12 |
1649595158 | Janis Kay French | Pharmacist | 3019 Coit Ave Ne, Grand Rapids, MI 49505-3376 | 2010-03-29 |
1356665798 | Reynaldo Soto | Physical Therapy Assistant | 3019 Coit Ave Ne, Grand Rapids, MI 49505-3376 | 2010-03-14 |
1679802029 | Ryan J Brown | Optometrist | 3019 Coit Ave Ne, Grand Rapids, MI 49505-3376 | 2009-12-14 |
1639404080 | Jamie Lyberg | Pharmacist | 3019 Coit Ave Ne, Grand Rapids, MI 49505-3376 | 2009-10-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285276097 | Molly Beth Kerkstra | Home Health Aide | 1115 Ball Ave Nw, Grand Rapids, MI 49505 | 2019-10-14 |
1154849677 | Roshawn Nichol Whitley | Technician | 891 Maryland Ave, Grand Rapids, MI 49505 | 2017-09-05 |
1447778923 | Kelly Benzin-brinks | Social Worker | 1965 3 Mile Rd Ne, Grand Rapids, MI 49505 | 2017-09-05 |
1033560404 | Taylor Nolan Boyd | Speech-Language Pathologist | 400 Ann St Ne Ste 106a, Grand Rapids, MI 49505 | 2016-06-28 |
1023465002 | Calvin Athy | Counselor | 1101 Ballave Ne, Grand Rapids, MI 49505 | 2016-05-19 |
1821456682 | Kelly Van Huisen | Counselor | 1115 Ball Avenue Ne, Building B, Grand Rapids, MI 49505 | 2016-02-08 |
1780051102 | Mark Squeteri | Social Worker | 1345 Monroe Ave Nw Ste 234, Grand Rapids, MI 49505 | 2015-09-02 |
1346637337 | Shelby Fullington | Social Worker | 1011 Ball Ave Ne, Grand Rapids, MI 49505 | 2015-04-17 |
1457745325 | Lester Anderson II | Social Worker | 1115 Ball Ave, Grand Rapids, MI 49505 | 2015-03-27 |
1730570151 | Nicole Brown | Counselor | 1345 Monroe Ave Nw Ste 204, Grand Rapids, MI 49505 | 2015-02-06 |
Find all providers in zip 49505 |
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 |
---|---|---|---|---|
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 |
1912551219 | Mallory Anderson | Dental Hygienist | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2019-07-25 |
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 |
Find all providers in GRAND RAPIDS |
City | GRAND RAPIDS |
Zip Code | 49505 |
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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.