STACEY ANDRESEN (NPI# 1083104392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083104392 |
| Entity Type | Individual |
| Full Name | STACEY ANDRESEN |
| Practice Address |
301 Explorer St Gwinn MI 49841-2813 |
| Mailing Address |
2815 Wright St Marquette MI 49855-9694 |
| Practice Telephone | 9063469275 |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2018-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 2902011657 | MI | Dental Providers |
| Street Address |
301 EXPLORER ST |
| City | GWINN |
| State | MI |
| Zip Code | 49841-2813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639122989 | Lynn M Barry | Family Medicine | 301 Explorer St, Gwinn, MI 49841-2813 | 2006-05-18 |
| 1265902258 | Kira Rayn Massie | Dental Hygienist | 301 Explorer St, Gwinn, MI 49841-2813 | 2018-12-03 |
| 1831664648 | Jenna Rose Parsons | Dental Hygienist | 301 Explorer St, Gwinn, MI 49841-2813 | 2018-10-08 |
| 1013412964 | John Curtis Jurkas | Dentist | 301 Explorer St, Gwinn, MI 49841-2813 | 2018-03-23 |
| 1811406275 | Julie R Mingay | Dental Hygienist | 301 Explorer St, Gwinn, MI 49841-2813 | 2017-09-28 |
| 1164893491 | Upper Great Lakes Family Health Center | Dentist | 301 Explorer St, Gwinn, MI 49841-2813 | 2015-10-13 |
| 1801262639 | Ashley Jean Brintlinger | Dentist | 301 Explorer St, Gwinn, MI 49841-2813 | 2015-08-17 |
| 1477984607 | Ashley E Croasdell | Nurse Practitioner | 301 Explorer St, Gwinn, MI 49841-2813 | 2013-12-13 |
| 1083911036 | Sandra Croasdell | Nurse Practitioner | 301 Explorer St, Gwinn, MI 49841-2813 | 2011-02-26 |
| 1588856223 | Christopher Allen Dehlin | Family Medicine | 301 Explorer St, Gwinn, MI 49841-2813 | 2007-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457904229 | Gwendolyn Buck Dds Pllc | Clinic/Center | 271 East Sate Highway M-35, Gwinn, MI 49841 | 2019-07-22 |
| 1174905715 | Laurie Robinson | Home Health | 262 Carbon St, Gwinn, MI 49841 | 2015-06-19 |
| 1114183175 | Autumn M Trudeau | Nurse Practitioner | 50 West M-35, Gwinn, MI 49841 | 2008-07-30 |
| 1770755886 | Sands Township | Ambulance | 987 South State Hwy M-553, Gwinn, MI 49841 | 2008-03-28 |
| 1720202146 | Vicki Hyde | Pharmacist | 130 E State Highway M35, Gwinn, MI 49841 | 2007-04-13 |
| 1033125836 | M K Stores Inc | Durable Medical Equipment & Medical Supplies | 130 E State Highway M-35, Gwinn, MI 49841 | 2006-08-01 |
| 1043260995 | Catherine A Kroll | Family Medicine | 135 E. M-35, Gwinn, MI 49841 | 2006-05-11 |
| 1548792781 | Shayna M Orlich | Nurse Practitioner | 135 E M35, Gwinn, MI 49841 | 2017-03-28 |
| 1457301319 | Catherine A Kroll, Do,pc | Family Medicine | 135 E. M-35, Gwinn, MI 49841 | 2006-05-11 |
| 1144543745 | Ann Louise Howell | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 132 Provider St, Gwinn, MI 49841-2726 | 2010-03-10 |
| Find all providers in zip 49841 | ||||
| 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 |
|---|---|---|---|---|
| 1265902258 | Kira Rayn Massie | Dental Hygienist | 301 Explorer St, Gwinn, MI 49841-2813 | 2018-12-03 |
| 1831664648 | Jenna Rose Parsons | Dental Hygienist | 301 Explorer St, Gwinn, MI 49841-2813 | 2018-10-08 |
| 1811406275 | Julie R Mingay | Dental Hygienist | 301 Explorer St, Gwinn, MI 49841-2813 | 2017-09-28 |
| 1043419765 | Kimberly Sue Browning | Dental Hygienist | 301 Explorer St, Suite B, Gwinn, MI 49841-2813 | 2007-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366042830 | Denisha Henry | Dental Hygienist | 28009 Berkshire Dr, Southfield, MI 48076-2449 | 2020-10-26 |
| 1477173367 | Susan B Leclair | Dental Hygienist | 6824 Brightwood Ct, Waterford, MI 48327-1100 | 2020-04-20 |
| 1053944686 | Elaine Christina Check | Dental Hygienist | 3510 Roosevelt Rd, Jackson, MI 49203-5263 | 2020-02-21 |
| 1720619257 | Angela Marie Compton | Dental Hygienist | 2668 Applewine, Middleville, MI 49333-8052 | 2020-02-03 |
| 1336789205 | Alaa Samir Solagh | Dental Hygienist | 7311 Appoline St, Dearborn, MI 48126-1570 | 2020-01-08 |
| 1952941825 | Ericka Melissa Smith | Dental Hygienist | 14577 Rosemont Ave, Detroit, MI 48223-2338 | 2020-01-08 |
| 1083254957 | Zahraa Solagh | Dental Hygienist | 6268 Whitefield St, Dearborn Heights, MI 48127-3013 | 2020-01-08 |
| 1811536261 | Melissa Ann Mccurtis | Dental Hygienist | 20700 Lockwood St, Taylor, MI 48180-2977 | 2020-01-02 |
| 1609415595 | Amanda Kilpatrick | Dental Hygienist | 11714 Belle River Rd, Riley, MI 48041-4322 | 2019-12-25 |
| 1366089732 | Vian Aljony | Dental Hygienist | 27273 Arden Park Cir, Farmington Hills, MI 48334 | 2019-12-04 |
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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.