MRS. CHERI G ELLISON


Address: 7052 Patrick Rd, Citronelle, AL 36522-5145
Phone: 2516102455

MRS. CHERI G ELLISON (NPI# 1275775199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275775199
Entity Type Individual
Full Name MRS. CHERI G ELLISON
Other Name MRS. CHERYL G ELLISON
Credential R. D. H.
Practice Address 7052 Patrick Rd
Citronelle
AL 36522-5145
Mailing Address 7052 Patrick Rd
Citronelle
AL 36522
Practice Telephone 2516102455
Mailing Telephone 2516102455
Enumeration Date 2009-03-25
Last Update Date 2009-03-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist 5121 AL Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
AL NPI MAY2762 01

Office Location

Street Address 7052 PATRICK RD
City CITRONELLE
State AL
Zip Code 36522-5145

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871622555 Citronelle Drug Co Inc Durable Medical Equipment & Medical Supplies 19240 Mobile St, Citronelle, AL 36522 2007-03-05
1306974704 Edmond Charles Henson Family Medicine 19280 Howard Ave, Citronelle, AL 36522-2016 2007-02-28
1790743961 Amedisys Home Health of Alabama, LLC Home Health 19375 N 3rd St, Suite 101, Citronelle, AL 36522-2044 2006-05-03
1164794343 Gmuc of Citronelle LLC Family Medicine 19355 N 3rd St, Suite 104, Citronelle, AL 36522-2049 2012-02-02
1437141355 Delta Health Group Inc Skilled Nursing Facility 19225 N 4th St, Citronelle, AL 36522-2051 2005-08-17
1730530130 Crowne Health Care of Citronelle, LLC Skilled Nursing Facility 19225 N 4th St, Citronelle, AL 36522-2051 2016-06-27
1033379854 Al Citronelle LLC Skilled Nursing Facility 19225 N 4th St, Citronelle, AL 36522-2051 2008-06-16
1457383481 Freds Stores of Tennessee Inc Pharmacy 19580 N 3rd St, Citronelle, AL 36522-2082 2006-07-07
1053406280 Mobile County Board of Health Clinic/Center 19250 N Mobile St, Citronelle, AL 36522-2122 2006-10-04
1114972130 Michael Clay Garver Dentist 19260 N Mobile St, Citronelle, AL 36522-2122 2006-05-25
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Taxonomy Information

Taxonomy Code 124Q00000X
Grouping Dental Providers
Classification Dental Hygienist

Taxonomy Definition

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.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1316576986 Victoria Martinec Dental Hygienist 3732 Us Hwy 280, Phenix City, AL 36867 2020-04-06
1225535388 Rhonda Lewis Wesolek Dental Hygienist Bldg 4405, Innkeeper Street, Fort Rucker, AL 36362 2018-04-06
1750730958 Teresa Morgan Knighten Dental Hygienist 4405 Innkeepers St, Fort Rucker, AL 36362 2016-06-08
1336489103 Joseph Kyle Donaghey,dmd,llc Dental Hygienist 836 North Dean Road, Auburn, AL 36830 2013-02-15
1710153747 Tampa Louise Meadows Sykora Dental Hygienist Us Coast Guard Sector South Broad St, Mobile, AL 36615 2008-04-30
1295852226 Ericka Vanderpeyl Lyman Dental Hygienist 136 Winterhaven Dr, Alabaster, AL 35007-2108 2007-03-23
1609846971 Gillette Dental Group, PC Dental Hygienist 196 Rolling Hill Dr, Daphne, AL 36526-7808 2006-01-26
1609474014 Jennifer Louise Gough Dental Hygienist 5720 1st Ave S, Birmingham, AL 35212-2522 2020-10-16
1891313813 Veronica Michelle Bryant Dental Hygienist 2400 Hospital Rd, Tuskegee, AL 36083-5001 2020-07-07
1942828975 Lakisha Wennell Ross Dental Hygienist 2400 Hospital Rd, Tuskegee, AL 36083-5001 2020-07-07
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Competitor

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City CITRONELLE
Zip Code 36522

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Dataset Information

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.

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