MS. GERALDINE A PEBDANI (NPI# 1144468554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144468554 |
| Entity Type | Individual |
| Full Name | MS. GERALDINE A PEBDANI |
| Credential | RDH |
| Practice Address |
652 Hamilton Rd Usa Dental Activity Ft Sill OK 73503 |
| Practice Telephone | 5804423905 |
| Practice Fax Number | 5804424002 |
| Mailing Telephone | 5804423905 |
| Mailing Fax Number | 5804424002 |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2013-10-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 124Q00000X | Dental Hygienist | 26454 | CA | Dental Providers |
| Y | 124Q00000X | Dental Hygienist | DH00006978 | WA | Dental Providers |
| Street Address |
652 HAMILTON RD USA DENTAL ACTIVITY |
| City | FT SILL |
| State | OK |
| Zip Code | 73503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710090865 | Robert Nathan Gilliam | Dentist | 652 Hamilton Rd, Usa Dentac, Ft Sill, OK 73503 | 2006-08-15 |
| 1265785067 | Aaron M Baumler | Dentist | 652 Hamilton Rd, Usa Dental Activity, Ft Sill, OK 73503 | 2012-10-18 |
| 1003079500 | Aaron Glenn Campbell | Dentist | 652 Hamilton Rd, Usa Dentac, Ft Sill, OK 73503 | 2008-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942824446 | Alex Boyd | Dentist | U.S.A. Dental Health Activity, 652 Hamilton Road, Fort Sill, OK 73503 | 2020-06-01 |
| 1588145031 | Dustin Davis | Dentist | Usa Dental Health Activity 652 Hamilton Rd., Fort Sill, OK 73503 | 2018-08-23 |
| 1578086492 | Austin Kent Brown | Dentist | Usa Dental Activity 652 Hamilton Rd., Fort Sill, OK 73503 | 2017-07-23 |
| 1083155998 | Michael Gagliano | Physician Assistant | 4301 Wilson Street, Attn: Mcua-qm Credentials, Reynolds Army Health Clinic, Fort Sill, OK 73503 | 2017-03-10 |
| 1619428885 | Kristi Ann Putnam | Registered Nurse | Sgt Bleak Troop Medical Clinic, 6039 Berry Street, Fort Sill, OK 73503 | 2016-10-21 |
| 1003265901 | Lucy Muller | Registered Nurse | 4301 Wilson Road, Ft Sill, OK 73503 | 2016-06-10 |
| 1356740146 | Gregory B Kiene | Dentist | 642 Hamilton Rd, Usa Dental Activity, Fort Sill, OK 73503 | 2014-08-18 |
| 1295152262 | Cheryl Marie Wildman | Dental Assistant | 2640 Miner Road, Weeks Dental Clinic, Ft Sill, OK 73503 | 2014-03-27 |
| 1245664143 | Tina L Gray | Dentist | 652 Hamilton Road, Suite 210, Fort Sill Dentac, Fort Sill, OK 73503 | 2013-08-27 |
| 1720410533 | Katherine Loi | Dentist | 652 Hamilton Rd, Fort Sill Dentac, Suite 210, Fort Sill, OK 73503 | 2013-08-02 |
| Find all providers in zip 73503 | ||||
| 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 |
|---|---|---|---|---|
| 1548821697 | Erica Danielle Sampson | Dental Hygienist | 715 N Oklahoma Ave, Tahlequah, OK 74464-2411 | 2019-06-27 |
| 1609347657 | Aimee Rachelle Cherry | Dental Hygienist | Sam Hider Dental Clinic, 859 E Melton Dr., Jay, OK 74346 | 2018-12-16 |
| 1316435472 | Sheri Bolay | Dental Hygienist | 3629 Nw 68th St, Oklahoma City, OK 73116-2015 | 2018-04-24 |
| 1447788484 | Domika Kinman | Dental Hygienist | 36640 Highway 270, Wewoka, OK 74884 | 2017-06-02 |
| 1013453935 | Jamie Horacek | Dental Hygienist | 29 Ketch Creek Cir, Lawton, OK 73507-9030 | 2017-01-17 |
| 1639624968 | Michael Hurd II | Dental Hygienist | 27685 S 170 Rd, Henryetta, OK 74437-1427 | 2016-08-16 |
| 1396110334 | Toni Coats | Dental Hygienist | 2810 W 61st Pl, Tulsa, OK 74132-1325 | 2015-12-02 |
| 1801214614 | Michell May | Dental Hygienist | 20 Sw 102nd St, Oklahoma City, OK 73139-9003 | 2014-03-31 |
| 1720426091 | Rickie Lee Harper | Dental Hygienist | 12136 S Yukon Ave, Sapulpa, OK 74066-6621 | 2013-06-10 |
| 1053681346 | Misty Smith | Dental Hygienist | Hwy 270 & 56 Jct, Wewoka, OK 74884 | 2012-01-04 |
| 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.