MICKEY COLE


Address: 670 County Road 83, Canby, CA 96015
Phone: 5302334641

MICKEY COLE (NPI# 1316327414) 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) 1316327414
Entity Type Individual
Full Name MICKEY COLE
Credential R.D.H
Practice Address 670 County Road 83
Canby
CA 96015
Practice Telephone 5302334641
Practice Fax Number 5307088940
Mailing Telephone 5302334641
Mailing Fax Number 5307088940
Enumeration Date 2015-06-03
Last Update Date 2015-06-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist 15034 CA Dental Providers

Office Location

Street Address 670 COUNTY ROAD 83
City CANBY
State CA
Zip Code 96015

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528063153 I'sot Inc Clinic/Center 670 County Road 83, Canby, CA 96015-9722 2005-06-20
1376164749 Last Frontier Healthcare District Clinic/Center 670 County Road 83, Canby, CA 96015-9722 2020-04-27
1376909770 Sara Jeanne Marchessault Physician Assistant 670 County Road 83, Canby, CA 96015-0125 2016-01-14
1316172034 Joey Chou-yie Chen Dentist 670 County Road 83, Canby, CA 96015 2009-05-26
1629242854 Matthew Sean Edmonds Family Medicine 670 County Road 83, Canby, CA 97015 2008-04-18
1225180649 John Nicholas Bardonner IIi Dentist 670 County Road 83, Canby, CA 96015-9722 2007-01-17
1760473706 Susan Adele Burger Dental Hygienist 670 County Road 83, Canby, CA 96015-9722 2005-10-31
1053301689 Lorna K Boland Registered Nurse 670 County Road 83, Canby, CA 96015-9722 2005-10-25
1467442079 Virginia L Hassler Nurse Practitioner 670 County Road 83, Canby, CA 96015-9722 2005-10-25
1841280435 Raymond P Mandel Psychologist 670 County Road 83, Canby, CA 96015-9722 2005-10-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326187261 Lake Health District Clinic/Center 670 County Rd 83, Canby, CA 96015 2007-02-06
1508007238 Wendy Marie Richardson Physician Assistant 670 County Rd 83, Canby, CA 96015 2009-03-09
1093990236 David Saliba Dentist 670 County Rd 83, Canby, CA 96015-9702 2008-01-07

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 city

NPI Name Taxonomy Address Enumeration
1043645237 Abigail D Ellis Dental Hygienist 380 S Holly St, Canby, OR 97013-4150 2013-09-06
1528620580 Lauren Lawless Dental Hygienist 249 Nw 3rd Ave, Canby, OR 97013-3601 2019-06-30
1760473706 Susan Adele Burger Dental Hygienist 670 County Road 83, Canby, CA 96015-9722 2005-10-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1346841046 Betty Satomi Fukumoto Dental Hygienist 16008 S Manhattan Pl, Gardena, CA 90247-3681 2020-11-08
1417558180 Maria Antonette De Lara Kim Dental Hygienist 66 S San Gorgonio Ave Ste 5, Banning, CA 92220-6020 2020-11-07
1083215982 Sokbunntha Yan Dental Hygienist 5810 Fidler Ave, Lakewood, CA 90712-1251 2020-11-06
1649871914 Maryam Ghahramani Shahneshin Dental Hygienist 1961 Grove Pl, Escondido, CA 92027-4101 2020-11-04
1285234047 Maryann Detar Dental Hygienist 3154 Alum Rock Ave, San Jose, CA 95127-2903 2020-10-29
1194325597 Connie Lim Good Dental Hygienist 14th Street Bldg 13128, Oceanside, CA 92055 2020-10-27
1336748896 Cynthia Garcia Macdougall Dental Hygienist 444 Hermosa Ave Apt 302, Hermosa Beach, CA 90254-4433 2020-10-25
1346849163 Ambrosia Evon Steljes Dental Hygienist Building 13128 14th Street, Camp Pendleton, CA 92055-5221 2020-10-22
1427657261 Julie Lynn March Dental Hygienist 19871 Mitscher Way Bldg 2495, San Diego, CA 92145-5103 2020-10-22
1386243327 Leticia Isabel Alcantar Dental Hygienist Bldg 520448, Camp Pendleton, CA 92055 2020-10-21
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Competitor

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City CANBY
Zip Code 96015

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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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