MISS TERRI FATA (NPI# 1205134772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205134772 |
| Entity Type | Individual |
| Full Name | MISS TERRI FATA |
| Credential | RDH |
| Practice Address |
559 W Grand Blvd Detroit MI 48216-2200 |
| Mailing Address |
38372 Timberland Dr Westland MI 48185-2688 |
| Practice Telephone | 3135543880 |
| Mailing Telephone | 7342076297 |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2011-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 2902008635 | MI | Dental Providers |
| Street Address |
559 W GRAND BLVD |
| City | DETROIT |
| State | MI |
| Zip Code | 48216-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528032174 | Scott P Stryd | Family Medicine | 559 W Grand Blvd, Detroit, MI 48216-2200 | 2006-02-13 |
| 1205468154 | Sarah Abbas | Student in an Organized Health Care Education/Training Program | 559 W Grand Blvd, Detroit, MI 48216-2200 | 2020-02-09 |
| 1932492485 | Gwendolyn Pettway | Counselor | 559 W Grand Blvd, Detroit, MI 48216-2200 | 2011-05-17 |
| 1003114471 | Fabiola Zamudio | Dental Hygienist | 559 W Grand Blvd, Detroit, MI 48216-2200 | 2011-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285287912 | Karah Jeannine Adams | Social Worker | 1600 Porter Street, Detroit, MI 48216 | 2019-07-22 |
| 1457865354 | Aaa Home Visiting Pllc | Internal Medicine | 1502 Fort St, Detroit, MI 48216 | 2017-11-30 |
| 1083004147 | Dan Webster Christian Wood | Social Worker | 1600 Porter St., Detroit, MI 48216 | 2015-01-28 |
| 1497010938 | Turner's Diagnostics | Clinic/Center | 727 West Grand Boulevard #315, Detroit, MI 48216 | 2012-07-11 |
| 1215177019 | Detroit Medical Centre | General Acute Care Hospital | 5000 Heather Drive, Dearborn, MI 48216 | 2009-03-06 |
| 1619164324 | Celso Enterprise Inc | Clinic/Center | 3968 E Vernor Hwy, Detroit, MI 48216 | 2007-09-26 |
| 1376706069 | Sandra Overstreet-ware | Social Worker | 3815 W Fort St, Detroit, MI 48216 | 2008-07-03 |
| 1013156660 | Carmetta Sharlena Jones | Home Health | 790 W Grand Blvd, Detroit, MI 48216-1003 | 2009-02-05 |
| 1982085429 | Gayle England | Custodial Care Facility | 777 W Grand Blvd, Detroit, MI 48216-1056 | 2015-06-10 |
| 1851734297 | Vishnu Kodumuru | Physical Therapist | 815 W Grand Blvd, Detroit, MI 48216-1056 | 2013-04-16 |
| Find all providers in zip 48216 | ||||
| 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 |
|---|---|---|---|---|
| 1952941825 | Ericka Melissa Smith | Dental Hygienist | 14577 Rosemont Ave, Detroit, MI 48223-2338 | 2020-01-08 |
| 1174041990 | Doris D Ogburn | Dental Hygienist | 4727 St Antoine Street, Suite 408, Detroit, MI 48201 | 2017-08-31 |
| 1902338635 | Armanda Hendricks | Dental Hygienist | 3646 Mt Elliott St, Detroit, MI 48207 | 2017-03-31 |
| 1760857387 | Cheryl Lynn Hewison | Dental Hygienist | 4727 St. Antoine St., Ste 408, Detroit, MI 48201 | 2015-12-08 |
| 1760876270 | Angela Bernard | Dental Hygienist | 14164 Abington Ave, Detroit, MI 48227-1304 | 2015-03-23 |
| 1932502077 | Keisha Denise Parks | Dental Hygienist | 5379 Crane St, Detroit, MI 48213-2918 | 2014-10-03 |
| 1053748889 | Dental Hygiene Visiting Services | Dental Hygienist | 38 Adelaide St, Detroit, MI 48201-3111 | 2013-10-12 |
| 1942567722 | Jaclyn Smith | Dental Hygienist | 19173 Santa Barbara Dr, Detroit, MI 48221-1624 | 2012-04-18 |
| 1023399607 | Sabrina Latrice Basley | Dental Hygienist | 7633 E Jefferson Ave Ste 70, Detroit, MI 48214-3730 | 2011-09-08 |
| 1962704668 | Sheila Inez Upshaw-flowers | Dental Hygienist | 18616 W. Mcnichols, Your Family Dentist, Detroit, MI 48219 | 2010-12-01 |
| Find all providers in DETROIT | ||||
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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.