JURRICA JUSTYNE STANLEY (NPI# 1114563145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114563145 |
| Entity Type | Individual |
| Full Name | JURRICA JUSTYNE STANLEY |
| Credential | RDH |
| Practice Address |
1615 Michigan Ave Baldwin MI 49304-7984 |
| Practice Telephone | 2317455051 |
| Practice Fax Number | 2317450412 |
| Mailing Telephone | 2317455051 |
| Mailing Fax Number | 2317450412 |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2019-11-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 2902019171 | MI | Dental Providers |
| Street Address |
1615 MICHIGAN AVE |
| City | BALDWIN |
| State | MI |
| Zip Code | 49304-7984 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457321598 | Daniel Patrick Gilligan | Family Medicine | 1615 Michigan Ave, Baldwin, MI 49304-7984 | 2006-01-23 |
| 1033749932 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 1615 Michigan Ave, Baldwin, MI 49304-7984 | 2020-01-20 |
| 1134765175 | Tamara Jean Gilbert | Dental Hygienist | 1615 Michigan Ave, Baldwin, MI 49304-7984 | 2019-11-25 |
| 1306408695 | Sasha-gay Haynes Mcbride | Dentist | 1615 Michigan Ave, Baldwin, MI 49304-7984 | 2019-07-08 |
| 1174180574 | Michael Jordan Halcomb | Dentist | 1615 Michigan Ave, Baldwin, MI 49304-7984 | 2019-05-22 |
| 1942780242 | Hien Thanh-le Nguyen | Pharmacist | 1615 Michigan Ave, Baldwin, MI 49304-7984 | 2018-08-16 |
| 1558854356 | Akosua S Appiagyei | Dentist | 1615 Michigan Ave, Baldwin, MI 49304-7984 | 2018-06-07 |
| 1285151746 | Jennifer Ann Strahan | Registered Nurse | 1615 Michigan Ave, Baldwin, MI 49304-7984 | 2017-08-25 |
| 1669925780 | Andrew Marfey | Dentist | 1615 Michigan Ave, Baldwin, MI 49304-7984 | 2016-07-25 |
| 1073966214 | Meshelle L Burrows | Counselor | 1615 Michigan Ave, Baldwin, MI 49304-7984 | 2016-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154592285 | Professional Dental Associates PC | Dentist | 888 Michigan Ave, Baldwin, MI 49304 | 2008-03-17 |
| 1437250941 | Pamela Sue Alley | Nurse Practitioner | 1234 Washington Ave, Vision of Health, Baldwin, MI 49304 | 2006-09-26 |
| 1902308463 | Baldwin Family Health Care | Clinic/Center | 1101 Washington St, Baldwin, MI 49304 | 2018-03-01 |
| 1801016613 | Baldwin Family Health Care | Clinic/Center | 525 4th St, Baldwin, MI 49304 | 2007-04-26 |
| 1912017310 | Pattie Drug of Baldwin Inc | Pharmacist | 868 Michigan Ave, Baldwin, MI 49304-0310 | 2006-08-30 |
| 1184650939 | David L Bales | Physical Therapist | 887 7th St, Baldwin, MI 49304-5104 | 2006-06-23 |
| 1114345907 | Divinicare LLC | Pharmacy | 868 Michigan Ave Ste A, Baldwin, MI 49304-7123 | 2014-03-31 |
| 1629388780 | Baldwin Pattie Drug Store LLC | Durable Medical Equipment & Medical Supplies | 868 Michigan Ave, Baldwin, MI 49304-7123 | 2010-10-07 |
| 1073509261 | Lake County Care Center, Inc. | Skilled Nursing Facility | 600 Denmark St, Baldwin, MI 49304-7500 | 2005-09-22 |
| 1669941183 | Kari Rae Hallead | Occupational Therapy Assistant | 600 Denmark St, Baldwin, MI 49304-7500 | 2018-11-14 |
| Find all providers in zip 49304 | ||||
| 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 |
|---|---|---|---|---|
| 1134765175 | Tamara Jean Gilbert | Dental Hygienist | 1615 Michigan Ave, Baldwin, MI 49304-7984 | 2019-11-25 |
| 1306218870 | Lorene Helmboldt-butts | Dental Hygienist | 1615 Michigan Ave, Baldwin, MI 49304-7984 | 2015-10-23 |
| 1700258274 | Jennifer Bittner | Dental Hygienist | 1615 Michigan Ave, Baldwin, MI 49304-7984 | 2015-10-23 |
| 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.