MRS. SUSAN M. MIKLOS (NPI# 1366720013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366720013 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN M. MIKLOS |
| Credential | EFDA,RDH, BSDH, MSDH |
| Practice Address |
126 Park Ave Bridgeport CT 06604-7620 |
| Mailing Address |
114 Squires Rd Madison CT 06443-1792 |
| Practice Telephone | 2035764823 |
| Mailing Telephone | 2039151666 |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2016-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 006553 | CT | Dental Providers |
| Street Address |
126 PARK AVE |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06604-7620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205464450 | Chayse Hellthaler | Physician Assistant | 126 Park Ave, Bridgeport, CT 06604-7620 | 2020-03-31 |
| 1932637949 | Lauren Alexis Kelly | Student in an Organized Health Care Education/Training Program | 126 Park Ave, Bridgeport, CT 06604-7620 | 2017-06-03 |
| 1174984819 | Shamilia Gomez | Chiropractor | 126 Park Ave, Bridgeport, CT 06604-7620 | 2016-03-08 |
| 1144617242 | Hyun S Kim | Chiropractor | 126 Park Ave, Bridgeport, CT 06604-7620 | 2015-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780163246 | Jill K Bebey | Pharmacist | 564 A Park Ave, Bridgeport, CT 06604 | 2018-08-07 |
| 1538663430 | Ryan Attar | Naturopath | 129 Columbia St, Bridgeport, CT 06604 | 2018-03-23 |
| 1487153375 | Fe Y Esperanza Home Care Services | Home Health | 2032 Main Street, Bridgeport, CT 06604 | 2018-02-06 |
| 1013423466 | Va.lu Able Home Care LLC | Registered Nurse | 1000 Lafayette Boulvard, Bridgeport, CT 06604 | 2017-12-21 |
| 1679970172 | Aarti Jawa | Dentist | 594 Pequonnoack Street, Bridgeport, CT 06604 | 2014-11-26 |
| 1932521473 | Anthony Santostefano | Dentist | 594 Pequonnock Street, Bridgeport, CT 06604 | 2014-01-18 |
| 1699011536 | Vanessa Frances Doyle | Naturopath | 115 Broad Street, C/o Center of Excellence, Bridgeport, CT 06604 | 2012-12-21 |
| 1942463302 | Joanna Conte Mcgary | Naturopath | 60 Lafayette Street, Naturopathic Medical Center University of Bridgeport, Bridgeport, CT 06604 | 2008-07-07 |
| 1346415221 | Jenna Lyn Blasi | Naturopath | 60 Lafayette, University of Bridgeport College of Naturopathic Medici, Bridgeport, CT 06604 | 2008-04-23 |
| 1275704462 | Watermark 3030 Park LLC | Skilled Nursing Facility | 3030 Park Ave, Bridgeport, CT 06604 | 2008-03-17 |
| Find all providers in zip 06604 | ||||
| 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 |
|---|---|---|---|---|
| 1417099680 | Karen Sue Williams | Dental Hygienist | 30 Hazel Street, Bridgeport, CT 06604-5715 | 2007-02-13 |
| 1952384885 | Vitaly Lein | Dental Hygienist | 982 E Main St, Bridgeport, CT 06608-1913 | 2005-11-23 |
| 1356942494 | Marilyn Karen Bartley | Dental Hygienist | 982 E Main St, Bridgeport, CT 06608-1913 | 2020-11-04 |
| 1235790296 | Hudson I Hector | Dental Hygienist | 46 Albion St, Bridgeport, CT 06605-2602 | 2019-06-20 |
| 1740735026 | Michelle Lane | Dental Hygienist | 1015 Columbia, Bridgeport, WA 98813 | 2016-08-17 |
| 1437525110 | Myriam H Rodriguez | Dental Hygienist | 982 E Main St, Bridgeport, CT 06608-1913 | 2015-08-17 |
| 1568726784 | Castelin Decamps | Dental Hygienist | 982 E Main St, Bridgeport, CT 06608-1913 | 2012-07-03 |
| 1629303813 | Shauna Khan | Dental Hygienist | 982 E Main St, Bridgeport, CT 06608-1913 | 2009-10-06 |
| 1891940656 | Amuri Barbosa | Dental Hygienist | 64 Black Rock Ave, Bridgeport, CT 06605-1200 | 2008-11-20 |
| 1144411000 | Lisa O'connor | Dental Hygienist | 361 Bird St, Bridgeport, CT 06605-2804 | 2007-08-06 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06604 |
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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.