STACEY LYNN BLAIS (NPI# 1174163935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174163935 |
| Entity Type | Individual |
| Full Name | STACEY LYNN BLAIS |
| Practice Address |
102 Western Ave Augusta ME 04330-7241 |
| Practice Telephone | 2076216700 |
| Mailing Telephone | 2076216700 |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2020-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | RDH2840 | ME | Dental Providers |
| Street Address |
102 WESTERN AVE |
| City | AUGUSTA |
| State | ME |
| Zip Code | 04330-7241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689299414 | Rabia Shamim | Dentist | 102 Western Ave, Augusta, ME 04330-7241 | 2020-06-08 |
| 1801436712 | Rachel St Germain | Dental Hygienist | 102 Western Ave, Augusta, ME 04330-7241 | 2020-01-08 |
| 1740750553 | True Trusty Dental Group LLC | Dentist | 102 Western Ave, Augusta, ME 04330-7241 | 2018-12-05 |
| 1306297833 | Stephanie Brann | Dental Hygienist | 102 Western Ave, Augusta, ME 04330-7241 | 2016-06-27 |
| 1073848800 | Reetika Sodhi | Dentist | 102 Western Ave, Augusta, ME 04330-7241 | 2009-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181877 | Renewal Family Center, LLC | Community/Behavioral Health | 10 Learners Drive, Augusta, ME 04330 | 2020-10-12 |
| 1134748759 | Chelsea Simone Koch | Registered Nurse | 1 Va Center, Department of Veterans Affairs, Augusta, ME 04330 | 2020-04-14 |
| 1790238442 | Nicole Lacrosse | Behavioral Analyst | 53 Hayden Rd, Augusta, ME 04330 | 2016-07-29 |
| 1093176844 | Richard J. Larrabee | Counselor | 312 Townhouse Road, Chelsea, ME 04330 | 2016-03-08 |
| 1376910984 | Sarah C. A. Tatlock | Social Worker | 41 Anthony Ave, Augusta, ME 04330 | 2015-08-31 |
| 1457728180 | Va Maine Health | General Acute Care Hospital | 1 Va Center 05, Va Maine Healthcare System-togus, Augusta, ME 04330 | 2015-08-28 |
| 1043696842 | Megan Arsenault | Pharmacist | 403 Water Street, Augusta, ME 04330 | 2015-08-04 |
| 1205219987 | Trevor Holbert | Audiologist | 1 Va Center - Togus Va Medical Center, Audiology 126a, Augusta, ME 04330 | 2015-06-30 |
| 1659787836 | Hannah M. Pullen | Occupational Therapy Assistant | 12 Shuman Ave Ste 16, Augusta, ME 04330 | 2014-07-08 |
| 1831469899 | Tanya Bernadette Quarterman | Specialist | 153 Hospital St Ste 13, Augusta, ME 04330 | 2012-01-09 |
| Find all providers in zip 04330 | ||||
| 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 |
|---|---|---|---|---|
| 1477884443 | Amy Rose Stevens | Dental Hygienist | 202 Mud Mill Rd, Augusta, ME 04330-0906 | 2010-01-14 |
| 1679801062 | Marissa Jones Lewis | Dental Hygienist | 2005 Mcdowell St, Augusta, GA 30904-4182 | 2009-11-24 |
| 1114151628 | Sharan Audrey Malinowski | Dental Hygienist | 41 Fuller Road, Augusta, ME 04330 | 2009-05-12 |
| 1013928381 | Audra M Hamilton | Dental Hygienist | 623 N 9th Street, Augusta, AR 72006 | 2006-08-11 |
| 1801436712 | Rachel St Germain | Dental Hygienist | 102 Western Ave, Augusta, ME 04330-7241 | 2020-01-08 |
| 1205488913 | Darcy Bishop | Dental Hygienist | 6 E Chestnut St, Augusta, ME 04330-5758 | 2019-07-12 |
| 1306297833 | Stephanie Brann | Dental Hygienist | 102 Western Ave, Augusta, ME 04330-7241 | 2016-06-27 |
| 1881035533 | Katherine Fisher | Dental Hygienist | 1 Freedom Way, Augusta, GA 30904-6258 | 2013-07-10 |
| 1336587948 | Ismael Gutierrez | Dental Hygienist | 1 Freedom Way, Augusta, GA 30904-6258 | 2013-06-06 |
| 1952535460 | Linda Mae Mccarthy | Dental Hygienist | 41 Fuller Rd, Augusta, ME 04330-4910 | 2009-05-12 |
| Find all providers in AUGUSTA | ||||
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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.