MS. JEANNE F SULLIVAN (NPI# 1972848919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972848919 |
| Entity Type | Individual |
| Full Name | MS. JEANNE F SULLIVAN |
| Credential | RDH |
| Practice Address |
97 Church St Fairhaven MA 02719-3723 |
| Practice Telephone | 5089516403 |
| Mailing Telephone | 5089516403 |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2012-12-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH10483 | MA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295989846 | Jeanne Theresa Sullivan | Occupational Therapist | 155 Wolcott Ave, Syracuse, NY 13207-1122 | 2008-11-10 |
| 1699270058 | Jeanne Elizabeth Sullivan | Student in an Organized Health Care Education/Training Program | 1635 Aurora Ct, Aurora, CO 80045-2541 | 2018-03-28 |
| 1851685515 | Jeanne Sullivan | Social Worker | 2 Church St, Burlington, VT 05401-4299 | 2011-05-30 |
| 1578727392 | Jeanne Sullivan | Nurse Practitioner | 1 Gustave L Levy Pl, Mount Sinai Medical Center, New York, NY 10029-6500 | 2008-07-10 |
| 1740306364 | Jeanne M Sullivan | Internal Medicine | 10400 E Alameda Ave, Denver, CO 80247-5104 | 2007-03-22 |
| Street Address |
97 CHURCH ST |
| City | FAIRHAVEN |
| State | MA |
| Zip Code | 02719-3723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457589772 | David Paul Patterson | Nurse Practitioner | 271 Alden Rd, Fairhaven, MA 02719 | 2009-06-25 |
| 1245415983 | Carol Ann Reeve | Social Worker | 21 Nelson Ave, Fairhaven, MA 02719 | 2007-12-31 |
| 1194842716 | Cathleen Lacy | Physical Therapist | 333 Bridge St, Fairhaven, MA 02719 | 2007-03-26 |
| 1700903978 | Barbara Ann Acksen | Psychologist | 91 Green Street, Fairhaven, MA 02719 | 2007-03-23 |
| 1811023260 | Merolla Chiropractic Inc | Chiropractor | 73 Alden Rd, Fairhaven, MA 02719 | 2007-02-27 |
| 1982746442 | Michele E Merolla | Chiropractor | 73 Aiden Rd, Fairhaven, MA 02719 | 2007-02-13 |
| 1417016338 | Brian K Bowcock | Chiropractor | 84 Huttleston Avenue, Fairhaven, MA 02719 | 2006-12-06 |
| 1104937697 | Southcoast Visiting Nurse Association. Inc | Home Health | 200 Mill Road, Suite 120, Fairhaven, MA 02719 | 2006-08-31 |
| 1902817299 | 184 Main LLC | Skilled Nursing Facility | 184 Main Street, Fairhaven, MA 02719 | 2006-08-11 |
| 1821584103 | Smiley Dental Care Pllc | Clinic/Center | 17 Berdon Way, Fairheaven, MA 02719 | 2018-07-10 |
| Find all providers in zip 02719 | ||||
| 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 |
|---|---|---|---|---|
| 1053689208 | Lynn Harrison | Dental Hygienist | 143 Spring St, Fairhaven, MA 02719-4131 | 2011-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194340620 | Sara Jambard | Dental Hygienist | 5 Halon Ter, East Longmeadow, MA 01028-3207 | 2020-06-10 |
| 1649810698 | Rinchen Youtso | Dental Hygienist | 4199 Washington St Ste 1, Roslindale, MA 02131-1733 | 2020-01-07 |
| 1124672779 | Polished Dntl LLC | Dental Hygienist | 76 Agnes Ln, Chatham, MA 02633-1502 | 2019-07-31 |
| 1801455720 | Neil David Moreau | Dental Hygienist | 230 Maple St Ste 4, Holyoke, MA 01040-5143 | 2019-06-13 |
| 1124592498 | Jamie Murphy | Dental Hygienist | 52 Lakecrest Path, Weymouth, MA 02189-1419 | 2019-01-18 |
| 1407332190 | Melissa Goulet | Dental Hygienist | 55 Federal St Ste 240, Greenfield, MA 01301-2573 | 2018-07-16 |
| 1407346349 | Kathryn Dolan | Dental Hygienist | 59 Wren St, Boston, MA 02132-2626 | 2018-05-16 |
| 1194221150 | Smiles Big and Small, Inc | Dental Hygienist | 28 Sandersdale Rd, Southbridge, MA 01550-2800 | 2018-03-30 |
| 1275044919 | Anna Ussi | Dental Hygienist | 15a Reed St, West Boylston, MA 01583-1139 | 2017-10-20 |
| 1346751799 | Judith Tanzella | Dental Hygienist | 7 Sohier Rd, Beverly, MA 01915-3415 | 2017-10-12 |
| 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.