LACEY BRIANNE ST. CLAIR (NPI# 1962703462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962703462 |
| Entity Type | Individual |
| Full Name | LACEY BRIANNE ST. CLAIR |
| Credential | RDH |
| Practice Address |
402 W Jefferson St Kirksville MO 63501-3407 |
| Mailing Address |
1416 Crown Dr Kirksville MO 63501-2548 |
| Practice Telephone | 6606652741 |
| Practice Fax Number | 6606653109 |
| Mailing Telephone | 6606275757 |
| Mailing Fax Number | 6606275802 |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2012-10-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 2008020510 | MO | Dental Providers |
| Street Address |
402 W JEFFERSON ST |
| City | KIRKSVILLE |
| State | MO |
| Zip Code | 63501-3407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437150810 | Shoeleh Navab-hamidi | Dentist | 402 W Jefferson St, Kirksville, MO 63501-3407 | 2005-08-09 |
| 1679185201 | Kailey B Grinder | Dental Hygienist | 402 W Jefferson St, Kirksville, MO 63501-3407 | 2020-08-17 |
| 1073122362 | Matthew L Williams | Dentist | 402 W Jefferson St, Kirksville, MO 63501-3407 | 2020-07-23 |
| 1326534728 | Stacie Bevill | Nurse Practitioner | 402 W Jefferson St, Kirksville, MO 63501-3407 | 2018-07-09 |
| 1952894081 | Megan Sparks | Dentist | 402 W Jefferson St, Kirksville, MO 63501 | 2018-06-13 |
| 1558711630 | Sarah A Hein | Dental Hygienist | 402 W Jefferson St, Kirksville, MO 63501-3407 | 2016-06-20 |
| 1326498924 | Jordan M Rains | Dentist | 402 W Jefferson St, Kirksville, MO 63501-3407 | 2016-06-15 |
| 1114390598 | Jennifer Lynn Blacksmith | Psychologist | 402 W Jefferson St, Kirksville, MO 63501-3407 | 2015-11-05 |
| 1134501125 | Michelle Kenney | Pediatrics | 402 W Jefferson St, Kirksville, MO 63501-3407 | 2015-06-25 |
| 1548641749 | Riley Rains | Dentist | 402 W Jefferson St, Kirksville, MO 63501-3407 | 2015-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245855642 | Tiffany Anna Athon | Pharmacist | Hy-vee Pharmacy, 500 N Baltimore, Kirksville, MO 63501 | 2020-06-11 |
| 1649829425 | Jillian Jo Pulis | Speech-Language Pathologist | 1300 S Cottage Ave, Kirksville, MO 63501 | 2019-09-05 |
| 1023662319 | Leah Dawn Murphy | Occupational Therapy Assistant | 1705 E La Harpe St, Kirksville, MO 63501 | 2019-07-25 |
| 1902302912 | Brittney Frances Snelling | Specialist/Technologist | 26820 State Hwy 11, Kirksville, MO 63501 | 2018-03-30 |
| 1063931434 | Kara Wehmeyer | Specialist/Technologist | 100 East Normal, Kirksville, MO 63501 | 2017-09-16 |
| 1285080796 | Hawkins Boone Mecham | General Practice | 407 S Main St # 2, Kirksville, MO 63501 | 2016-05-13 |
| 1003287848 | Lacosta Gaines | Nurse Practitioner | 1607 South Baltimore, Kirksville, MO 63501 | 2015-10-19 |
| 1427442573 | Madi Hoppe | Specialist/Technologist | 23571 Crest Trail, Kirksville, MO 63501 | 2015-03-26 |
| 1407247133 | High Hope Employment Services, Inc. | Day Training, Developmentally Disabled Services | 906 East Shepherd Avenue, Kirksville, MO 63501 | 2015-02-17 |
| 1497069694 | Ella Marie Callison | Physician Assistant | 1611 S Baltimore St Ste A, Kirksville, MO 63501 | 2010-07-29 |
| Find all providers in zip 63501 | ||||
| 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 |
|---|---|---|---|---|
| 1417151929 | Cynthia M Hawkey | Dental Hygienist | 302 W Jefferson St, Kirksville, MO 63501-3416 | 2007-06-11 |
| 1679185201 | Kailey B Grinder | Dental Hygienist | 402 W Jefferson St, Kirksville, MO 63501-3407 | 2020-08-17 |
| 1558711630 | Sarah A Hein | Dental Hygienist | 402 W Jefferson St, Kirksville, MO 63501-3407 | 2016-06-20 |
| 1861719957 | Belinda Kay Robertson | Dental Hygienist | 302 W Jefferson St, Kirksville, MO 63501-3416 | 2010-04-28 |
| 1760516876 | Tiffanie Jill Albertson | Dental Hygienist | 1916 N Baltimore St, Kirksville, MO 63501-1902 | 2007-03-14 |
| 1497731574 | Kellie C Herbst | Dental Hygienist | 402 W Jefferson St, Kirksville, MO 63501-3407 | 2005-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323238 | Marcia Poe | Dental Hygienist | 20815 S Dean Rd, Belton, MO 64012-9132 | 2020-10-12 |
| 1629682943 | Seong Jin Park | Dental Hygienist | 6958 Nebraska Ave Bldg 1608, Fort Leonard Wood, MO 65473-1618 | 2020-09-03 |
| 1447868542 | Emily Sue Leslie | Dental Hygienist | 315 W Mulberry Ste B, Pilot Knob, MO 63663-7860 | 2020-07-15 |
| 1982198453 | Traci Anne Shambo | Dental Hygienist | Bldg. 400 Virginia Ave, Fort Leonard Wood, MO 65473 | 2018-06-19 |
| 1396237863 | Maegen Mone Taylor | Dental Hygienist | 547 S Business Highway 13, Lexington, MO 64067 | 2018-05-31 |
| 1740798750 | Julie R Phillips | Dental Hygienist | 10007 Nw Lema Dr Apt C, Parkville, MO 64152-3933 | 2018-01-12 |
| 1639618325 | Tabitha Vollmer | Dental Hygienist | 1701 W. Sunshine Street, Suite Q, Springfield, MO 65807-2261 | 2017-02-15 |
| 1588113773 | Heather Annette Henke | Dental Hygienist | #5 Health Department Drive, Troy, MO 63379-4451 | 2016-09-28 |
| 1720532104 | Angela Faurot | Dental Hygienist | 4001 Pine View Dr, Columbia, MO 65202-4209 | 2016-08-15 |
| 1497105688 | Lisa Diane Moss | Dental Hygienist | 5047 Virginia Ave, Bldg 500, Fort Leonard Wood, MO 65473-9126 | 2016-06-17 |
| Find all providers with the same taxonomy | ||||
| City | KIRKSVILLE |
| Zip Code | 63501 |
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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.