JILL A SUSALLA (NPI# 1235638586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235638586 |
| Entity Type | Individual |
| Full Name | JILL A SUSALLA |
| Practice Address |
8326 N Saginaw Rd Mount Morris MI 48458-1648 |
| Practice Telephone | 8106875040 |
| Practice Fax Number | 8106875130 |
| Mailing Telephone | 8106875040 |
| Mailing Fax Number | 8106875130 |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2018-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 290200403 | MI | Dental Providers |
| Street Address |
8326 N SAGINAW RD |
| City | MOUNT MORRIS |
| State | MI |
| Zip Code | 48458-1648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538358759 | Maya Shantikumar | Dentist | 8326 N Saginaw Rd, Mount Morris, MI 48458-1648 | 2007-10-24 |
| 1043855943 | Ao of Mt Morris Pllc | Dentist | 8326 N Saginaw Rd, Mount Morris, MI 48458-1648 | 2019-11-14 |
| 1205335353 | Michelle Marie David | Dental Hygienist | 8326 N Saginaw Rd, Mount Morris, MI 48458-1648 | 2018-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194260364 | Lisa Marie Sarno | Social Worker | 6655 Neff Road, Mount Morris, MI 48458 | 2016-12-27 |
| 1336699958 | Mandy Marie Lyon | Nurse Practitioner | 6655 Neff Rd, Mount Morris, MI 48458 | 2016-10-06 |
| 1083161624 | Khelsey Jefferson | Technician, Other | G6190 North Dort Hwy, Mount Morris, MI 48458 | 2016-09-01 |
| 1467908731 | Kim Baxter | Technician, Other | 1218 W Stanley Road, Mt Morris, MI 48458 | 2016-08-28 |
| 1972989671 | Sharon Cantrell | Driver | 1110 Maginn Ct, Mount Morris, MI 48458 | 2015-08-04 |
| 1437585627 | Louis A Shaheen | Dentist | G9171 North Saginaw St., Mt. Morris, MI 48458 | 2013-09-19 |
| 1992015853 | Makali Inc | Pharmacy | G-6061 N Saginaw St, Mt. Morris, MI 48458 | 2010-10-13 |
| 1982833422 | American Medical Missionary Care | Family Medicine | G-6061 N. Saginaw St., Mt. Morris, MI 48458 | 2009-07-06 |
| 1134383011 | Beecher Pharmacy LLC | Pharmacy | G 6061 N Saginaw St, Mount Morris, MI 48458 | 2008-07-10 |
| 1316022999 | Daniel Reuben Gotlib | Dentist | G-6061 North Saginaw Rd, Mount Morris, MI 48458 | 2006-10-25 |
| Find all providers in zip 48458 | ||||
| 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 |
|---|---|---|---|---|
| 1740786953 | Ann M Szpara-jezioro | Dental Hygienist | 1 Murray Hill Dr Rm 140, Mount Morris, NY 14510-1153 | 2018-04-05 |
| 1316429319 | Bethanie Storke | Dental Hygienist | 1 Murray Hill Dr Rm 140, Mount Morris, NY 14510-1153 | 2018-09-05 |
| 1932694361 | Leslie Grayce Carpenter | Dental Hygienist | 1 Murray Hill Dr Rm 140, Mount Morris, NY 14510-1153 | 2018-06-27 |
| 1205335353 | Michelle Marie David | Dental Hygienist | 8326 N Saginaw Rd, Mount Morris, MI 48458-1648 | 2018-02-05 |
| 1821596180 | Anne Marie Strivings | Dental Hygienist | 1 Murray Hill Dr, Bldg 1 Room140, Mount Morris, NY 14510 | 2018-01-31 |
| 1881086783 | Rebecca J Thomas | Dental Hygienist | 120 Locust Ave Ext, Mount Morris, PA 15349-1355 | 2015-03-02 |
| 1093143273 | Dewyun Nelson | Dental Hygienist | 1 Murray Hill Dr, Mount Morris, NY 14510-1153 | 2013-10-24 |
| 1124365564 | Peggi M. Sylor | Dental Hygienist | 1 Murray Hill Dr, Bld.1, Mount Morris, NY 14510-1153 | 2013-01-04 |
| 1023354313 | Paula Michelle Fischer | Dental Hygienist | 1 Murray Hill Dr, Bldg. #1, Mount Morris, NY 14510-1153 | 2012-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366042830 | Denisha Henry | Dental Hygienist | 28009 Berkshire Dr, Southfield, MI 48076-2449 | 2020-10-26 |
| 1477173367 | Susan B Leclair | Dental Hygienist | 6824 Brightwood Ct, Waterford, MI 48327-1100 | 2020-04-20 |
| 1053944686 | Elaine Christina Check | Dental Hygienist | 3510 Roosevelt Rd, Jackson, MI 49203-5263 | 2020-02-21 |
| 1720619257 | Angela Marie Compton | Dental Hygienist | 2668 Applewine, Middleville, MI 49333-8052 | 2020-02-03 |
| 1336789205 | Alaa Samir Solagh | Dental Hygienist | 7311 Appoline St, Dearborn, MI 48126-1570 | 2020-01-08 |
| 1952941825 | Ericka Melissa Smith | Dental Hygienist | 14577 Rosemont Ave, Detroit, MI 48223-2338 | 2020-01-08 |
| 1083254957 | Zahraa Solagh | Dental Hygienist | 6268 Whitefield St, Dearborn Heights, MI 48127-3013 | 2020-01-08 |
| 1811536261 | Melissa Ann Mccurtis | Dental Hygienist | 20700 Lockwood St, Taylor, MI 48180-2977 | 2020-01-02 |
| 1609415595 | Amanda Kilpatrick | Dental Hygienist | 11714 Belle River Rd, Riley, MI 48041-4322 | 2019-12-25 |
| 1366089732 | Vian Aljony | Dental Hygienist | 27273 Arden Park Cir, Farmington Hills, MI 48334 | 2019-12-04 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT MORRIS |
| Zip Code | 48458 |
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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.