MRS. NICHELLE MARIE YOUNG (NPI# 1184932857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184932857 |
| Entity Type | Individual |
| Full Name | MRS. NICHELLE MARIE YOUNG |
| Credential | DENTAL ASSISTANT |
| Practice Address |
3635 Braselton Hwy Suite C Dacula GA 30019-1068 |
| Mailing Address |
770 Hounds Ridge Ct Lawrenceville GA 30043-4079 |
| Practice Telephone | 6787147575 |
| Mailing Telephone | 6785221363 |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2010-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144650599 | Nichelle Young | Social Worker | 6220 N Nebraska Ave Ste B, Tampa, FL 33604-6257 | 2013-11-22 |
| 1447870076 | Nichelle Tubu Young | Technician | 304 Anacostia Rd Se Apt 101, Washington, DC 20019-7187 | 2020-04-23 |
| Street Address |
3635 BRASELTON HWY SUITE C |
| City | DACULA |
| State | GA |
| Zip Code | 30019-1068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205810975 | Alan Paul Gerber | Obstetrics & Gynecology | 3635 Braselton Hwy, Ste B-1, Dacula, GA 30019-1068 | 2005-12-05 |
| 1588093439 | Coral Elizabeth Quinn Perniciaro | Physical Therapist | 3635 Braselton Hwy, Suite C, Dacula, GA 30019-1068 | 2013-11-01 |
| 1215279294 | Neuropathy Wellness Specialists, LLC | General Practice | 3635 Braselton Hwy, Suite C, Dacula, GA 30019-1068 | 2013-03-18 |
| 1922318625 | Christopher Brian Bennett | Chiropractor | 3635 Braselton Hwy, Suite B-2, Dacula, GA 30019-1068 | 2010-10-14 |
| 1578773503 | N8 Health, LLC | Chiropractor | 3635 Braselton Hwy, Suite B2, Dacula, GA 30019-5933 | 2007-05-22 |
| 1437289600 | Bright Horizon Imaging LLC | Clinic/Center | 3635 Braselton Hwy, Suite A, Dacula, GA 30019-1068 | 2007-03-06 |
| 1013054402 | Sam S Kwon | Dentist | 3635 Braselton Hwy, Suite C, Dacula, GA 30019-1068 | 2007-02-01 |
| 1871664730 | Nicholas Thomas Tedder | Chiropractor | 3635 Braselton Hwy, Suite B-2, Dacula, GA 30019-1068 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780228171 | Mackenson Lafortune | Physical Therapy Assistant | 1424 Filigree Pl, Dacula, GA 30019 | 2019-10-29 |
| 1780167452 | Adenike Alaga | Registered Nurse | 3196 Dolostone Way, Dacula, GA 30019 | 2018-09-10 |
| 1780160580 | Cielitha Ruffin | Nurse Practitioner | 1223 Bentley Estates Dr., Dacula, GA 30019 | 2018-07-15 |
| 1386135663 | Anke Mbapeh | Nurse Practitioner | 2100 Browning Bend Ct, Dacula, GA 30019 | 2018-05-23 |
| 1053820282 | Ethan Zachariah Merrow | Student in an Organized Health Care Education/Training Program | 1701 Mulberry Lake Drive, Dacula, GA 30019 | 2017-09-20 |
| 1043737547 | Dawn Hedley | Dietitian, Registered | 3567 Vern Way, Dacula, GA 30019 | 2017-08-25 |
| 1831545367 | Angela Owusu-edusei | Nurse Practitioner | 3226 Dolostone Way, Dacula, GA 30019 | 2016-05-13 |
| 1528458718 | Philomena Gyamfi | Registered Nurse | 1088 Milford Ln, Dacula, GA 30019 | 2015-01-27 |
| 1417375247 | Casey Goldman Sommerfeld | Pediatrics | 2240 Hamilton Creek Pkwy Ste 600, Dacula, GA 30019 | 2014-03-29 |
| 1417398215 | Samia Tahil | Home Health | 2821 Spence Ct, Dacula, GA 30019 | 2013-07-10 |
| Find all providers in zip 30019 | ||||
| Taxonomy Code | 126800000X |
| Grouping | Dental Providers |
| Classification | Dental Assistant |
| An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043516602 | Natashia Faye Nash | Dental Assistant | 3635 Braselton Hwy Ste C, Dacula, GA 30019-5932 | 2011-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629521828 | Carmen I Gaybort | Dental Assistant | 1456 Sheridan Pt, Hinesville, GA 31313-9198 | 2016-07-25 |
| 1376995415 | Alisha Potter | Dental Assistant | 305 Vangurard Road, Ft Stewart, GA 31314 | 2016-07-12 |
| 1538511068 | Brandi Harris | Dental Assistant | 305 Vanguard Rd, Ft Stewart, GA 31314 | 2016-07-08 |
| 1548612088 | Adrian Cuthbert | Dental Assistant | 305 Vanguard Road, Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
| 1841642386 | Beverly Lynn Berry | Dental Assistant | 306 Vanguard Road Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
| 1740630060 | Anjanette Nicole' Brown | Dental Assistant | 706 Warriors Rd, Building 2115, Fort Stewart, GA 31314 | 2016-06-17 |
| 1376992719 | Xenia Key | Dental Assistant | 7770 Sightseeing Road, Bernheim Dental Clinic, Fort Benning, GA 31905 | 2016-06-07 |
| 1770932162 | Tammy Allen | Dental Assistant | 701 Hoff Rd Building 9240, Ft. Benning, GA 31909 | 2016-06-07 |
| 1003265406 | Rhonda Mills | Dental Assistant | 7101 Hoff Rd Building 9240, Ft. Benning, GA 31909 | 2016-06-07 |
| 1588013189 | Barbara Parker | Dental Assistant | 2828 Sightseeing Rd, Fort Benning, GA 31905 | 2016-06-06 |
| 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.