BRANDY L ZANTELLO (NPI# 1356540926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356540926 |
| Entity Type | Individual |
| Full Name | BRANDY L ZANTELLO |
| Other Name | BRANDY L SNYDER |
| Practice Address |
308 Charles Street Bangor MI 49013 |
| Mailing Address |
50 Industrial Park Drive Bangor MI 49013 |
| Practice Telephone | 2694277969 |
| Practice Fax Number | 2694279539 |
| Mailing Telephone | 2694277937 |
| Mailing Fax Number | 2694275180 |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2007-07-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 2902014552 | MI | Dental Providers |
| Street Address |
308 CHARLES STREET |
| City | BANGOR |
| State | MI |
| Zip Code | 49013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962439950 | Michele E Allen | Dentist | 308 Charles Street, Bangor, MI 49013 | 2006-06-27 |
| 1417319476 | Terri Lynn Harbin Ilg | Dental Hygienist | 308 Charles Street, Intercare Community Health Network, Bangor, MI 49013 | 2016-03-28 |
| 1518375740 | Carolyn Thon | Dental Hygienist | 308 Charles Street, Bangor, MI 49013-1246 | 2014-07-31 |
| 1194133744 | Intercare Community Health Network Dental Van | Clinic/Center | 308 Charles Street, Bangor, MI 49013-1246 | 2014-07-28 |
| 1114335767 | Intercare Community Heath Network Medical Van | Clinic/Center | 308 Charles Street, Bangor, MI 49013-1246 | 2014-07-28 |
| 1538365705 | Alicia Scuiletti | Dental Hygienist | 308 Charles Street, Bangor, MI 49013 | 2007-06-25 |
| 1730197310 | Joette Marie Wyman | Dental Hygienist | 308 Charles Street, Bangor, MI 49013 | 2006-08-03 |
| 1366473811 | William L Wilkinson | Family Medicine | 308 Charles Street, Bangor, MI 49013 | 2006-07-05 |
| 1619908167 | Nancy Anne Virgilio | Physician Assistant | 308 Charles Street, Bangor, MI 49013 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083237051 | Twin Doves I LLC | Community Based Residential Treatment Facility, Mental Illness | 48617 36th Ave., Bangor, MI 49013 | 2020-05-25 |
| 1629252895 | Van Buren Cass District Health Department | Community/Behavioral Health | 803 West Arlington, Bangor Health Center, Bangor, MI 49013 | 2007-12-24 |
| 1245426808 | Karen Lee Replogle | Registered Nurse | 52101 34th Avenue, Bangor, MI 49013 | 2007-09-18 |
| 1518152560 | Virginia Douglas | Registered Nurse | 52101 34 Avenue, Bangor, MI 49013 | 2007-09-12 |
| 1992818835 | Intercare Community Health Network | Clinic/Center | 308 Charles St, Bangor, MI 49013 | 2006-08-16 |
| 1326058512 | Intercare Community Health Network | Clinic/Center | 50 Industrial Park Dr, Bangor, MI 49013 | 2006-08-09 |
| 1366051898 | Kasie M Broe | Social Worker | 52101 34th Avenue, Bangor, MI 49013 | 2020-07-30 |
| 1255985966 | Audria Gilliland | Registered Nurse | 52101 34th Avenue, Bangor, MI 49013 | 2019-07-31 |
| 1891185765 | Teresa Ansinn | Nurse Practitioner | 50 Industrial Park Rd, Bangor, MI 49013 | 2015-01-30 |
| 1093985087 | Nancy Lou Grib | Registered Nurse | 52101 34 Avenue, Bangor, MI 49013 | 2008-03-05 |
| Find all providers in zip 49013 | ||||
| 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 |
|---|---|---|---|---|
| 1043794993 | Jolene Pierce | Dental Hygienist | 1 Cumberland Pl Ste 116, Bangor, ME 04401-5087 | 2018-09-17 |
| 1033627633 | Joleen Lee | Dental Hygienist | 201 Texas Ave, Bangor, ME 04401-4324 | 2018-01-17 |
| 1043639271 | Aleshia Figgins | Dental Hygienist | 1460 Hammond St, Chapel Hill Complex, Bangor, ME 04401-5790 | 2014-04-15 |
| 1952619264 | Kimberly M Riitano | Dental Hygienist | 1048 Union St., Bangor, ME 04401 | 2010-09-21 |
| 1306071501 | Amy Thornton | Dental Hygienist | 71 Molly Ln, Bangor, ME 04401-3553 | 2009-05-18 |
| 1164644621 | Marie Doucette | Dental Hygienist | 24 Stone St, Bangor, ME 04401-3743 | 2007-05-03 |
| 1902435407 | Kristy L Higgins | Dental Hygienist | 1012 Union St, Bangor, ME 04401-3060 | 2020-04-06 |
| 1760991582 | Amanda Laganiere | Dental Hygienist | 1048 Union St, Bangor, ME 04401-3016 | 2017-09-25 |
| 1134642945 | Julie Ann Thompson | Dental Hygienist | 792 Stillwater Ave, Maine Family Dental, Bangor, ME 04401 | 2017-07-24 |
| 1952841645 | Una Leanna Purvis | Dental Hygienist | 792 Stillwater Ave, Bangor, ME 04401 | 2017-03-01 |
| Find all providers in BANGOR | ||||
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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.