YESSICA ESCUTIA PONCE DE LEON (NPI# 1134641277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134641277 |
| Entity Type | Individual |
| Full Name | YESSICA ESCUTIA PONCE DE LEON |
| Credential | DDS |
| Practice Address |
2700 Baker St Muskegon MI 49444 |
| Mailing Address |
2700 Baker St Muskegon Heights MI 49444-2157 |
| Practice Telephone | 2317378603 |
| Practice Fax Number | 2317379012 |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2017-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
2901022334 | MI | Dental Providers |
| Street Address |
2700 BAKER ST |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629066238 | Hackley Community Care Center Inc | Family Medicine | 2700 Baker St, 3rd Floor, Muskegon, MI 49444-2157 | 2005-10-07 |
| 1619476918 | Heather Ann Hoover | Dental Hygienist | 2700 Baker St, Muskegon, MI 49444-2157 | 2018-02-02 |
| 1356724702 | Stacey Steeno | Advanced Practice Midwife | 2700 Baker St, Muskegon, MI 49444-2157 | 2015-07-02 |
| 1225364953 | Carmel Elaise Mckentry | Counselor | 2700 Baker St, Muskegon, MI 49444-2157 | 2009-10-31 |
| 1982884383 | Shannon Varela | Pharmacist | 2700 Baker St, Muskegon, MI 49444-2157 | 2007-11-14 |
| 1114107547 | Hackley Community Care Center, Inc | Pharmacy | 2700 Baker St, Muskegon, MI 49444-2157 | 2007-11-14 |
| 1720098551 | Virendra K Das | Family Medicine | 2700 Baker St, 3rd Floor, Muskegon, MI 49444-2157 | 2006-08-08 |
| 1124042445 | Suzanne E Carl | Registered Nurse | 2700 Baker St, 3rd Floor, Muskegon, MI 49444-2157 | 2006-07-27 |
| 1558385849 | Tawna W Vallance | Physician Assistant | 2700 Baker St, 3rd Floor, Muskegon, MI 49444-2157 | 2006-07-27 |
| 1215950605 | Kelly S Briden | Family Medicine | 2700 Baker St, 3rd Floor, Muskegon, MI 49444-2157 | 2006-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073084349 | Cathy Forrest, Ma, LLP Plc | Psychologist | 255 Seminole Road, Suite-205, Muskegon, MI 49444 | 2018-12-16 |
| 1831687276 | Sarah J Weiden | Massage Therapist | 1040 E Sternberg Rd, Muskegon, MI 49444 | 2018-04-30 |
| 1184131500 | Hatem M Gelani Sr. | Dentist | 1725 E Sherman Blvd, Muskegon, MI 49444 | 2018-01-08 |
| 1497123673 | Rite Aid | Pharmacist | 2213 E Hile Road, Muskegon, MI 49444 | 2015-09-04 |
| 1689077075 | Rosa Carpenter-parker | Counselor | 445 East Sherman, Muskegon, MI 49444 | 2014-09-30 |
| 1417373036 | Smile Center Pllc | Dentist | 3500 Park Street, Smile Center Pllc, Muskegon, MI 49444 | 2014-03-06 |
| 1134460439 | Adam L Powell | Physical Medicine & Rehabilitation | 1675 E Mount Garfield Rd, Muskegon, MI 49444 | 2013-03-12 |
| 1972847135 | Kristen Haugh | Physical Therapist | 5251 Harvey St Ste 100, Norton Shores, MI 49444 | 2012-11-12 |
| 1912261694 | Brandon D Freel | Obstetrics & Gynecology | 6401 Prairie St Ste 2100, Norton Shores, MI 49444 | 2012-06-27 |
| 1437434487 | Amy Stegall | Pharmacist | 1171 E Sherman, Norton Shores, MI 49444 | 2011-10-20 |
| Find all providers in zip 49444 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083211924 | Spencer P Barnes | Dentist | 300 Meadow Run Dr Ste 2, Hastings, MI 49058-9048 | 2020-10-05 |
| 1063058097 | Jean M Stolt | Dentist | 3434 M 119 Ste G, Harbor Springs, MI 49740-9373 | 2019-11-25 |
| 1508332032 | Smile North Muskegon PC | Dentist | 1915 Holton Rd Ste C, North Muskegon, MI 49445-1533 | 2018-10-23 |
| 1033620703 | All About Smiles Canton P.c | Dentist | 42180 Ford Rd Ste 301, Canton, MI 48187-3677 | 2017-10-20 |
| 1073963831 | Trevor Allen Coeling | Dentist | 628 Progress St, West Branch, MI 48661-9383 | 2016-06-13 |
| 1508229014 | Brightsmiles | Dentist | 33060 Northwestern Hwy, Suit 200, West Bloomfield, MI 48322-3693 | 2016-04-01 |
| 1073997441 | Rami Essak | Dentist | 24100 Drake Rd Ste C, Farmington Hills, MI 48335-3155 | 2015-07-16 |
| 1023404068 | Portable Smiles Consulting LLC | Dentist | 41962 Trent Ct, Canton, MI 48188-5208 | 2015-04-07 |
| 1417348129 | Acurate Mobile Medical Health Systems | Dentist | 20880 Gratiot Ave Ste 111, Eastpointe, MI 48021-2816 | 2015-02-17 |
| 1750782504 | George Daniel | Dentist | 200 Riverfront Dr Apt 3i, Detroit, MI 48226-4592 | 2014-09-11 |
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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.