MISS NICOLE ROBERGE (NPI# 1174034722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174034722 |
| Entity Type | Individual |
| Full Name | MISS NICOLE ROBERGE |
| Credential | RDH |
| Practice Address |
1028 Edgewater Corporate Pkwy Ste 101 Indian Land SC 29707-0187 |
| Mailing Address |
2530 Marlowe Ave Charlotte NC 28208-5028 |
| Practice Telephone | 8038352500 |
| Enumeration Date | 2017-10-22 |
| Last Update Date | 2017-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | SC | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629534490 | Nicole Roberge | Behavior Technician | 3254 Henderson Rd, Columbus, OH 43220-2377 | 2019-02-15 |
| Street Address |
1028 EDGEWATER CORPORATE PKWY STE 101 |
| City | INDIAN LAND |
| State | SC |
| Zip Code | 29707-0187 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568814697 | Michael Arthur Marshall | Dentist | 1028 Edgewater Corporate Pkwy Ste 101, Indian Land, SC 29707 | 2016-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535844 | Anomaly Bodywork & Wellness Center, LLC | Massage Therapist | 4068 Flats Main Street, Apt 100, Indian Land, SC 29707 | 2020-10-15 |
| 1164034369 | Renu Kapoor Virdi | Dentist | 9709 Redstone Dr, Ste 500, Indian Land, SC 29707 | 2020-08-19 |
| 1205467420 | Brian Keith Sutton | Physical Therapist | 2021 Bridgemill Dr, Ste 106, Indian Land, SC 29707 | 2020-01-27 |
| 1215575774 | Doby's Bridge Dentistry | Dentist | 4174 Dobys Brige Road Ste 100, Indian Land, SC 29707 | 2019-12-16 |
| 1346895141 | Redstone Modern Dentistry, PC | Dentist | 9709 Redstone Dr., Suite 500, Indian Land, SC 29707 | 2019-08-08 |
| 1396228698 | Daniel Allen | Massage Therapist | 4068 Flats Main St, Apt 100, Indian Land, SC 29707 | 2018-09-12 |
| 1598269409 | Dawn K Beatty-batten | Occupational Therapy Assistant | The Blake At Edgewater, 1099 Edgewater Corporate Parkway, Indian Land, SC 29707 | 2018-03-23 |
| 1366940959 | Kds Consultants, LLC | Family Medicine | 8351 Charlotte Hwy Ste 200, Indian Land, SC 29707 | 2018-01-29 |
| 1093227464 | Ivision Associates LLC | Optometrist | 9700 Red Stone Drive Suite 300, Indian Land, SC 29707 | 2017-10-25 |
| 1396274742 | Carson Tyler Mcginn | Specialist/Technologist | 8690 Henry Harris Rd., Fort Mill, SC 29707 | 2017-06-08 |
| Find all providers in zip 29707 | ||||
| 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 |
|---|---|---|---|---|
| 1780246553 | Stacy Nicole Sherbutt | Dental Hygienist | Naval Weapons Statiom, 316 Red Bank Rd, Goose Creek, SC 29466 | 2019-07-02 |
| 1801360599 | Julie A Harvey | Dental Hygienist | 172 Chad Dr, Ridgeland, SC 29936-7834 | 2019-01-15 |
| 1902309974 | Kathleen Ann Gehrman | Dental Hygienist | 113 Wappoo Creek Dr. Suite #5, James Island Dental Associates, Charleston, SC 29412-2136 | 2018-03-15 |
| 1578913844 | Ursula Lanette Grantham | Dental Hygienist | 216 Barnetby Way, Columbia, SC 29229-9599 | 2016-06-17 |
| 1750748935 | Stephanie Tucker Smith | Dental Hygienist | 223 E Powers Dr, Easley, SC 29640-2534 | 2016-01-20 |
| 1275923617 | Caroline Skellie | Dental Hygienist | 145 Cynthia Lane, Campobello, SC 29322 | 2015-01-23 |
| 1083014039 | Jennifer Lasseter | Dental Hygienist | 115 Maxie Rd, Lexington, SC 29072-7618 | 2014-08-27 |
| 1508205717 | Amanda Marie Ashcraft | Dental Hygienist | 113 Wappoo Creek Drive Suite 5, James Island Dental Associates Pa, Charleston, SC 29412 | 2013-06-20 |
| 1902242936 | Gertrude Katrina Deas | Dental Hygienist | 111 Dj Eboni Ln, Summerville, SC 29483-3321 | 2013-05-16 |
| 1982913752 | Park Place Dentistry, LLC | Dental Hygienist | 203b Central Park Ln, Seneca, SC 29678-1156 | 2010-09-28 |
| Find all providers with the same taxonomy | ||||
| City | INDIAN LAND |
| Zip Code | 29707 |
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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.