BROOKE BORUSIEWICZ (NPI# 1205459294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205459294 |
Entity Type | Individual |
Full Name | BROOKE BORUSIEWICZ |
Credential | RDH |
Practice Address |
3455 Airframe Dr North Charleston SC 29418 |
Mailing Address |
219 Fort St Summerville SC 29485-8387 |
Practice Telephone | 8439259296 |
Mailing Telephone | 8433022817 |
Enumeration Date | 2020-05-25 |
Last Update Date | 2020-05-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | 10412 | SC | Dental Providers |
Street Address |
3455 AIRFRAME DR |
City | NORTH CHARLESTON |
State | SC |
Zip Code | 29418 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053761361 | Ashlee Revell | Specialist/Technologist | 3455 Airframe Dr, North Charleston, SC 29418-6953 | 2016-06-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710529235 | Safe Keeping Healthcare LLC | Home Health | 2850 Ashley Phoshate Rd Suite J, Charleston, SC 29418 | 2019-10-16 |
1487136180 | Aston J Rosenberg | Speech-Language Pathologist | 4362 Leslie St, North Charleston, SC 29418 | 2018-08-30 |
1285178996 | Aaron Brown | Counselor | 5060 Dorchester Road, Suite 200, North Charleston, SC 29418 | 2016-12-14 |
1003265828 | Health Edge Laser LLC | Chiropractor | 4965 Centre Pointe Dr. Suite 100, North Charleston, SC 29418 | 2016-06-13 |
1568866481 | Rickey Ciapha Dennis Sr. | Social Worker | 108 Knightsbridge Drive, North Charleston, SC 29418 | 2014-10-21 |
1780086330 | Stephanie Washington | Specialist | 5060 Drochester Rd, North Charleston, SC 29418 | 2014-09-25 |
1043631369 | Julian H. Campbell, Dmd PC | Dentist | 3188 W. Montague Ave, North Charleston, SC 29418 | 2014-01-05 |
1750660676 | Marie's Home Care | Home Health | 7610 Mcknight St., Apt.a, North Charleston, SC 29418 | 2011-08-09 |
1437437548 | Trident General Dentistry, Douglas S Rawls, Dm | Dentist | 6335 Dorchester Road, North Carleston, SC 29418 | 2011-07-25 |
1508165291 | Patrick Michael Looser | Internal Medicine | 4969 Centre Pointe Dr Ste 100, North Charleston, SC 29418 | 2011-03-21 |
Find all providers in zip 29418 |
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 | NORTH CHARLESTON |
Zip Code | 29418 |
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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.