MRS. CAROL FAY MORTIERE (NPI# 1962410795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962410795 |
| Entity Type | Individual |
| Full Name | MRS. CAROL FAY MORTIERE |
| Practice Address |
7205 Sw Drakestone Blvd Lawton OK 73505-7467 |
| Practice Telephone | 5805310281 |
| Mailing Telephone | 5805310281 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | Dental Providers |
| Street Address |
7205 SW DRAKESTONE BLVD |
| City | LAWTON |
| State | OK |
| Zip Code | 73505-7467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134744006 | Angela Janell Smith | Case Manager/Care Coordinator | 4904 Nw Smith Ave, Lawton, OK 73505 | 2020-06-16 |
| 1295383990 | Akeemia Lorene Holder | Case Manager/Care Coordinator | Youth Care of Oklahoma, 713 Sw C Avenue, OK 73505 | 2019-08-27 |
| 1225685480 | Healthstat Onsite Clinic Goodyear Vision Center | Preventive Medicine | 1 Goodyear Blvd, Lawton, OK 73505 | 2019-08-22 |
| 1891285300 | Michael Anthony Gray | Case Manager/Care Coordinator | 2218 Nw 36th St, Lawton, OK 73505 | 2018-05-10 |
| 1841797362 | Adeshola T Fatuyi | Case Manager/Care Coordinator | 7301 Sw Lee 635, Lawton, OK 73505 | 2018-04-11 |
| 1912425539 | Heather Shea Morefield | Case Manager/Care Coordinator | 2712 Sw H Ave, Lawton, OK 73505 | 2017-09-04 |
| 1972031367 | Burke Hendricks | Emergency Medicine | 3401 West Gore Boulevard, Lawton, OH 73505 | 2017-05-30 |
| 1932642279 | Helery Vance | Peer Specialist | 1420 Nw Hunter Rd Apt C7, Lawton, OK 73505 | 2016-11-18 |
| 1629523436 | Sebrina Sheppard | Case Manager/Care Coordinator | 3907 Sw Parkridge Blvd., Lawton, OK 73505 | 2016-08-22 |
| 1376913590 | David Lee Atauvich | Registered Nurse | 1515 Lawrie Rd, Lawton, OK 73505 | 2015-09-30 |
| Find all providers in zip 73505 | ||||
| Taxonomy Code | 126800000X |
| Grouping | Dental Providers |
| Classification | Dental Assistant |
| An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447269022 | Marie L. Lebron | Dental Assistant | 1315 W Gore Blvd, Lawton, OK 73501-3605 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295152262 | Cheryl Marie Wildman | Dental Assistant | 2640 Miner Road, Weeks Dental Clinic, Ft Sill, OK 73503 | 2014-03-27 |
| 1194271973 | David Swann | Dental Assistant | 652 Hamilton Road, Fort Sill, OK 73503 | 2016-08-31 |
| 1750732509 | Brandon Rippy | Dental Assistant | 652 Hamilton Rd, Fort Sill, OK 73503 | 2016-06-23 |
| 1144671926 | Roxanna Lynn Cohn | Dental Assistant | 652 Hamilton Road, Fort Sill, OK 73503 | 2016-06-23 |
| 1407206493 | Melissa Marshall | Dental Assistant | 652 Hamilton Rd, Usa Dental Activity, Fort Sill, OK 73503 | 2016-06-21 |
| 1316397300 | Michelle Mcdermott | Dental Assistant | 652 Hamilton Rd., Usa Dental Activity, Fort Sill, OK 73503 | 2016-06-21 |
| 1316397599 | Dianne Holly Ambrosek | Dental Assistant | 652 Hamilton Road, Fort Sill, OK 73503 | 2016-06-17 |
| 1942650635 | Jennifer Rose Fasolino | Dental Assistant | 652 Hamilton Rd., Ft. Sill, OK 73503 | 2016-06-14 |
| 1023487485 | Yvette Saldana Vasquez | Dental Assistant | 4913 W Reno Ave, Oklahoma City, OK 73127-6339 | 2015-09-16 |
| 1851760227 | Christina Diana Cook | Dental Assistant | 4913 W Reno Ave, Oklahoma City, OK 73127-6339 | 2015-09-16 |
| Find all providers with the same taxonomy | ||||
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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.