ELIZABETH JENE EZELL (NPI# 1043784606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043784606 |
| Entity Type | Individual |
| Full Name | ELIZABETH JENE EZELL |
| Credential | RDH |
| Practice Address |
604 N. Thomas St. South Hill VA 23970 |
| Mailing Address |
P.o.b. 599 604 N. Thomas St. South Hill VA 23970 |
| Practice Telephone | 4344474464 |
| Practice Fax Number | 4344472249 |
| Mailing Telephone | 4344474464 |
| Mailing Fax Number | 4344472249 |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2019-01-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 0402207520 | VA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205435120 | Elizabeth Ezell | Social Worker | 4040 S Tyler St Ste 9, Tacoma, WA 98409-2143 | 2020-10-21 |
| 1942251533 | Elizabeth Marie Ezell | Family Medicine | 150 Emerson Ave E, Saint Paul, MN 55118-2535 | 2006-05-16 |
| Street Address |
604 N. THOMAS ST. |
| City | SOUTH HILL |
| State | VA |
| Zip Code | 23970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821576901 | Mackenzie Jean Blackwell | Dental Hygienist | 604 N. Thomas St, South Hill, VA 23970 | 2018-08-01 |
| 1316459357 | Bernita Danica Boyd | Contractor | 436 Theater Rd, South Hill, VA 23970 | 2017-10-31 |
| 1194242909 | More Transport LLC | Non-emergency Medical Transport (VAN) | 651 Clearview Dr, South Hill, VA 23970 | 2017-08-23 |
| 1912423534 | Larry D Warren | Driver | 730 Hite Street, Po Box 896, South Hill, VA 23970 | 2017-08-15 |
| 1902320658 | Lakika Lyshon Hicks | Non-emergency Medical Transport (VAN) | 74 Hudgins Road, South Hill, VA 23970 | 2017-08-02 |
| 1053835561 | Vernice Luevine Lewis | Driver | 11525 Highway One, South Hill, VA 23970 | 2017-07-27 |
| 1407376924 | Building Blocks To Success LLC | Occupational Therapist | 20429 Hwy Forty-seven, South Hill, VA 23970 | 2017-06-26 |
| 1316477136 | Eric Blackwell | Driver | 248 Circle Dr, South Hill, VA 23970 | 2017-06-14 |
| 1619341443 | North View Day Support LLC | Day Training, Developmentally Disabled Services | 359 Saffold Road, South Hill, VA 23970 | 2015-11-17 |
| 1770978793 | Kimball Jade Kindley | Dermatology | 140 Ferrell St., South Hill, VA 23970 | 2015-04-06 |
| Find all providers in zip 23970 | ||||
| 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 |
|---|---|---|---|---|
| 1821576901 | Mackenzie Jean Blackwell | Dental Hygienist | 604 N. Thomas St, South Hill, VA 23970 | 2018-08-01 |
| 1912070947 | Laura Lee Bailey | Dental Hygienist | 119 S Mecklenburg Ave, South Hill, VA 23970-2603 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767520 | Cassandra Elizabeth Knowles | Dental Hygienist | 3626 Poplar Ridge Dr, Gloucester, VA 23061-3267 | 2020-10-13 |
| 1669081089 | Kelly Davis | Dental Hygienist | 741 Crystal Ln, Strasburg, VA 22657-2373 | 2020-07-31 |
| 1184240848 | Masih Safi | Dental Hygienist | 3005 Marisa Ct, Woodbridge, VA 22192-3919 | 2020-06-18 |
| 1144845470 | Gwendilynn Thu Duong | Dental Hygienist | 6707 Old Dominion Dr Ste 240, Mc Lean, VA 22101-4503 | 2020-06-12 |
| 1144857434 | Roshani Patel | Dental Hygienist | 3951 Kathryn Jean Ct, Fairfax, VA 22033-2743 | 2020-03-25 |
| 1679105936 | Erica Cavaluzzi | Dental Hygienist | 13532 Mallard Watch Way, Clifton, VA 20124-0920 | 2020-02-05 |
| 1982250759 | Natalie Marie Campbell | Dental Hygienist | 5979 Emory Blvd, Fort Belvoir, VA 22060-3236 | 2019-08-16 |
| 1487214201 | Annmarie Mcbride | Dental Hygienist | 4701 Franconia Rd, Alexandria, VA 22310-1908 | 2019-06-14 |
| 1912565599 | Lilia Vaughan | Dental Hygienist | 2300 Vantage Dr Apt 3051, Woodbridge, VA 22191-4170 | 2019-05-30 |
| 1346805876 | Jodie Pointer Myers | Dental Hygienist | 10845 Timber Rd, South Prince George, VA 23805-7508 | 2019-05-09 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH HILL |
| Zip Code | 23970 |
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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.