KEITH DURON (NPI# 1326459652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326459652 |
| Entity Type | Individual |
| Full Name | KEITH DURON |
| Credential | CRDH |
| Practice Address |
633d Medical Group 77 Nealy Avenue Joint Base Langley-eustis VA 23665-2040 |
| Practice Telephone | 7572257630 |
| Mailing Telephone | 7572257630 |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2014-05-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH 22799 | FL | Dental Providers |
| Street Address |
633D MEDICAL GROUP 77 NEALY AVENUE |
| City | JOINT BASE LANGLEY-EUSTIS |
| State | VA |
| Zip Code | 23665-2040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881688877 | James F Forrest | Optometrist | 633d Medical Group, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665-2040 | 2005-09-06 |
| 1497213573 | Diana Elise Strain | Social Worker | 633d Medical Group, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665-2040 | 2019-03-07 |
| 1457865131 | Mary Iskarous | Psychologist | 633d Medical Group, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665-2040 | 2017-11-17 |
| 1295112977 | Nicholas William Deangelis | Pediatrics | 633d Medical Group, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665-2040 | 2015-04-30 |
| 1366839961 | Brent Sager | Obstetrics & Gynecology | 633d Medical Group, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665-2040 | 2015-04-21 |
| 1578998522 | Kristen Ashley Block | Physician Assistant | 633d Medical Group, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665-2040 | 2013-09-10 |
| 1336486992 | William F Wolfe | Nurse Anesthetist, Certified Registered | 633d Medical Group, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665-2040 | 2013-01-15 |
| 1659638575 | Adam Labree Bourgon | Surgery | 633d Medical Group, 77 Nealy Ave, Joint Base Langley-eustis, VA 23665-2040 | 2012-04-17 |
| 1003101551 | Richard Zanetti Jr. | Pediatrics | 633d Medical Group, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665-2040 | 2011-06-13 |
| 1629398565 | Jeffrey Roger Herchler | Physician Assistant | 633d Medical Group, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665-2040 | 2010-06-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228938 | Mai Stern | Student in an Organized Health Care Education/Training Program | Langley Afb Dental Clinic, Hampton, VA 23665 | 2020-06-05 |
| 1386273449 | Nicholas Thomas Nelson | Military Health Care Provider | 633d Medical Group, 76 Nealy Ave, Building #92, Apo, AA 23665 | 2020-04-02 |
| 1316574809 | Kimberly C Easterling | Student in an Organized Health Care Education/Training Program | 76 Nealy Avenue, Joint Base Langley-eustis, Hampton, VA 23665 | 2020-03-24 |
| 1851950026 | Erin Leigh Baldridge | Dentist | Joint Base Langley Eustis Dental Clinic, 76 Nealy Ave, Apo, AA 23665 | 2019-06-11 |
| 1669950739 | Anthony Interrante IIi | Nurse Practitioner | Usaf Hospital Langley, 77 Nealy Avenue, Hampton, VA 23665 | 2018-08-01 |
| 1588189310 | Stacey Marie Jackson | Psychologist | 11 Nealy Blvd, Hampton, VA 23665 | 2017-08-14 |
| 1285062216 | Michael John Vietti | Physician Assistant | 633 Mdg 77 Nealy Ave, Yorktown, VA 23665 | 2013-10-30 |
| 1396182234 | Micaela Jane Dagucon | General Practice | 633d Mdg/sghc, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665 | 2013-06-02 |
| 1912212051 | Michele Leigh Shirley | Pharmacist | 633d Medical Group Hospital, 77 Nealy Avenue, Building 257, Joint Base Langley-eustis, VA 23665 | 2010-08-13 |
| 1497915219 | Stephen Warren Porter | Dentist | 76 Nealy Ave, 1st Dental Squadron/sgd, Langley Air Force Base, VA 23665 | 2008-06-16 |
| Find all providers in zip 23665 | ||||
| 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 |
|---|---|---|---|---|
| 1720480957 | Lynnette Cipolla | Dental Hygienist | 77 Nealy Avenue, 633d Medical Group, Joint Base Langley-eustis, VA 23665-2040 | 2014-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767520 | Cassandra Elizabeth Knowles | Dental Hygienist | 3626 Poplar Ridge Dr, Gloucester, VA 23061-3267 | 2020-10-13 |
| 1669081089 | Kelly Davis | Dental Hygienist | 741 Crystal Ln, Strasburg, VA 22657-2373 | 2020-07-31 |
| 1184240848 | Masih Safi | Dental Hygienist | 3005 Marisa Ct, Woodbridge, VA 22192-3919 | 2020-06-18 |
| 1144845470 | Gwendilynn Thu Duong | Dental Hygienist | 6707 Old Dominion Dr Ste 240, Mc Lean, VA 22101-4503 | 2020-06-12 |
| 1144857434 | Roshani Patel | Dental Hygienist | 3951 Kathryn Jean Ct, Fairfax, VA 22033-2743 | 2020-03-25 |
| 1679105936 | Erica Cavaluzzi | Dental Hygienist | 13532 Mallard Watch Way, Clifton, VA 20124-0920 | 2020-02-05 |
| 1982250759 | Natalie Marie Campbell | Dental Hygienist | 5979 Emory Blvd, Fort Belvoir, VA 22060-3236 | 2019-08-16 |
| 1487214201 | Annmarie Mcbride | Dental Hygienist | 4701 Franconia Rd, Alexandria, VA 22310-1908 | 2019-06-14 |
| 1912565599 | Lilia Vaughan | Dental Hygienist | 2300 Vantage Dr Apt 3051, Woodbridge, VA 22191-4170 | 2019-05-30 |
| 1346805876 | Jodie Pointer Myers | Dental Hygienist | 10845 Timber Rd, South Prince George, VA 23805-7508 | 2019-05-09 |
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| City | JOINT BASE LANGLEY-EUSTIS |
| Zip Code | 23665 |
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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.