CONSTANCE SUZANNE STEWART (NPI# 1114059722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114059722 |
| Entity Type | Individual |
| Full Name | CONSTANCE SUZANNE STEWART |
| Other Name | CONSTANCE SUZANNE STEWART |
| Credential | HYGIENIST |
| Practice Address |
2960 Tongass Ave Suite 403 Ketchikan AK 99901-5742 |
| Practice Telephone | 9072284902 |
| Practice Fax Number | 9072285256 |
| Mailing Telephone | 9072284902 |
| Mailing Fax Number | 9072285256 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 493 | AK | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | HYGIENIST LICENSED TO ADM | 174 | 01 |
| AK | DENTAL HYGIENE LICENSE | 493 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003843137 | Constance F Stewart | Pediatrics | 515 Hempstead Ave, Rockville Centre, NY 11570-1751 | 2006-06-26 |
| 1952889230 | Constance A Stewart | Counselor | 5350 Donald St, Eugene, OR 97405-3529 | 2018-07-30 |
| 1386888071 | Constance M. Stewart | Social Worker | 211 Central Park W, Suite 1-i, New York, NY 10024-6020 | 2009-04-24 |
| Street Address |
2960 TONGASS AVE SUITE 403 |
| City | KETCHIKAN |
| State | AK |
| Zip Code | 99901-5742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154315109 | Kathryn Lynn Price | Family Medicine | 2960 Tongass Ave, Ketchikan, AK 99901-5742 | 2005-09-06 |
| 1427668300 | Morgan Wayne Holmes | Dentist | 2960 Tongass Ave, Ketchikan, AK 99901-5742 | 2020-08-05 |
| 1073177424 | Maxx Ritchie Keizer | Pharmacist | 2960 Tongass Ave, Ketchikan, AK 99901-5742 | 2019-04-30 |
| 1043763824 | Ying Kwok | Dentist | 2960 Tongass Ave, Ketchikan, AK 99901-5742 | 2016-07-28 |
| 1780036491 | Andrea A. Lui | Family Medicine | 2960 Tongass Ave, Ketchikan, AK 99901-5742 | 2016-07-06 |
| 1912370347 | Pamela Lee Rogers | Nurse Practitioner | 2960 Tongass Ave, Ketchikan, AK 99901-5742 | 2015-11-06 |
| 1356745723 | Megan Hanifin | Counselor | 2960 Tongass Ave, Ketchikan, AK 99901-5742 | 2014-10-14 |
| 1396153649 | Ketchikan Indian Corporation | Clinic/Center | 2960 Tongass Ave, Ketchikan, AK 99901-5742 | 2014-07-31 |
| 1427460997 | Gerry Balluta | Case Manager/Care Coordinator | 2960 Tongass Ave, Ketchikan, AK 99901-5742 | 2014-06-02 |
| 1447670393 | Kristin Santroch | Dentist | 2960 Tongass Ave, Ketchikan, AK 99901 | 2014-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314215 | Residential Youth Care, Inc. | Community/Behavioral Health | 2442 Tongass Avenue, Ketchikan, AK 99901 | 2020-07-23 |
| 1316563026 | Residential Youth Care, Inc. | Community/Behavioral Health | 606 Hill Road, Ketchikan, AK 99901 | 2020-06-18 |
| 1043836851 | Residential Youth Care, Inc. | Community/Behavioral Health | 2514 1st Avenue, Ketchikan, AK 99901 | 2020-06-18 |
| 1215553029 | Residential Youth Care, Inc. | Community/Behavioral Health | 2951 Baranof Avenue, Ketchikan, AK 99901 | 2020-06-18 |
| 1174159222 | Helene Rae Simpson | Behavior Technician | 201 Deermont St, Ketchikan, AK 99901 | 2020-03-20 |
| 1003295155 | Suzanne Webb | Massage Therapist | 602 Dock St Ste 106, Ketchikan, AK 99901 | 2015-05-22 |
| 1093194342 | Kate Mortensen | Case Manager/Care Coordinator | 2690 Tongass Ave, Ketchikan, AK 99901 | 2015-05-20 |
| 1578879631 | Thomas Peter Ryan | Social Worker | 320 Bawden St. #318, Ketchikan, AK 99901 | 2010-08-27 |
| 1689820979 | Akeela Inc | Community Based Residential Treatment Facility, Mental Illness | 3050 Fifth Ave, Ketchikan, AK 99901 | 2008-08-18 |
| 1750565438 | Susan Marie Swift | Nurse Practitioner | 21 Jefferson Way, Suite 202, Psychiatry, Ketchikan, AK 99901 | 2007-12-18 |
| Find all providers in zip 99901 | ||||
| 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 |
|---|---|---|---|---|
| 1740624170 | Angie Smitley | Dental Hygienist | 1300 Stedman St, Ketchikan, AK 99901-6661 | 2013-04-29 |
| 1205968864 | Lisa Marie Bezenek | Dental Hygienist | 2960 Tongass Ave, Suite 403, Ketchikan, AK 99901-5742 | 2007-03-09 |
| 1144282179 | Sheila Ann Ellington | Dental Hygienist | 1300 Stedman St, Ketchikan, AK 99901-6661 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831722198 | Sarah Carter | Dental Hygienist | 36721 Saint Theresa Rd, Soldotna, AK 99669-8653 | 2020-02-14 |
| 1619487808 | Elisabeth Turner | Dental Hygienist | 6611 Debarr Rd Ste 100, Anchorage, AK 99504-1706 | 2017-10-03 |
| 1801335856 | Meridian Dental, LLC | Dental Hygienist | 3465 E Meridian Park Loop Ste C, Wasilla, AK 99654-7264 | 2017-02-22 |
| 1003268657 | Brandy Tristan | Dental Hygienist | Bldg 3406, Troop Dental Clinic, Ft. Wainwright, AK 99703 | 2016-07-07 |
| 1679922496 | Karen Peters | Dental Hygienist | 600 Richardson Dr, Bld. # 634, Fort Richardson, AK 99505-8310 | 2016-06-13 |
| 1396116182 | Kelly Adrian | Dental Hygienist | 19436 Laura Lee Cir, Eagle River, AK 99577-8415 | 2015-10-19 |
| 1679909253 | Kjerstena Elizabeth Yocum | Dental Hygienist | 215 Front Street, Wrangell, AK 99929 | 2013-09-16 |
| 1356600886 | Di Ann Thain | Dental Hygienist | 7300a Klawock-hollis Hwy, Klawock, AK 99925 | 2012-05-03 |
| 1134497936 | Barbara J Sylvester | Dental Hygienist | 122 First Ave Suite 600, Fairbanks, AK 99707-2585 | 2011-12-07 |
| 1881970184 | Laura M Greer | Dental Hygienist | 8150 Northwind Ave # B, Anchorage, AK 99504-4141 | 2011-10-31 |
| 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.