DOROTHY JEAN RICHARDSON (NPI# 1376632448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376632448 |
| Entity Type | Individual |
| Full Name | DOROTHY JEAN RICHARDSON |
| Practice Address |
1617 N Main St Poplar Bluff MO 63901-3445 |
| Mailing Address |
21818 County Road 312 Clarkton MO 63837-8197 |
| Practice Telephone | 5737783042 |
| Practice Fax Number | 5737789432 |
| Mailing Telephone | 5734483460 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154834489 | Dorothy Richardson | Orthopaedic Surgery | 1120 W Lakeshore Dr, Clermont, FL 34711-2936 | 2017-11-08 |
| 1770085391 | Dorothy Lee Richardson | Physician Assistant | 201 State St, Brady, TX 76825-3305 | 2018-02-28 |
| 1720215247 | Dorothy L Richardson | Registered Nurse | 625 W Washington Ave, Madison, WI 53703-2637 | 2009-06-11 |
| 1740494129 | Dorothy Frances Richardson | Registered Nurse | 1518 Vancouver Dr, Dayton, OH 45406-4748 | 2007-05-09 |
| 1346467818 | Dorothy T. Richardson | Psychologist | 1415 Beacon Street, Rice Center for Young Children and Families, Brookline, MA 02446 | 2007-04-19 |
| Street Address |
1617 N MAIN ST |
| City | POPLAR BLUFF |
| State | MO |
| Zip Code | 63901-3445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076701 | Alternative Sleep Solution | Dentist | 2700 Kanell Blvd., Poplar Bluff, MO 63901 | 2020-09-04 |
| 1285271239 | Front Door Wellness LLC | Physical Therapist | Front Door Wellness LLC, 5835 Quail Meadows Drive, Poplar Bluff, MO 63901 | 2019-12-09 |
| 1104470368 | Andrew Akindutire | Dentist | 3101 Oak Groove Rd., Suite 6, Poplar Bluff, MO 63901 | 2019-07-26 |
| 1780195966 | Midwest Equipment Srv Systems LLC | Technician, Pathology | 2400 Lucy Lee Parkway, Suite C, Poplar Bluff, MO 63901 | 2017-10-16 |
| 1801259387 | Richard Justin Huber | Technician, Other | 3005 Warrior Ln, Poplar Bluff, MO 63901 | 2016-04-01 |
| 1699136275 | Donja Kirkland | Recreation Therapist | 1910a Greenwood Dr., Suite D, Poplar Bluff, MO 63901 | 2016-03-10 |
| 1760866867 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 3050 Tucker Road, Poplar Bluff, MO 63901 | 2015-07-17 |
| 1407246390 | Lisa Marie Payne | Physical Therapist | 4358c Highway Pp, Poplar Bluff, MO 63901 | 2015-01-29 |
| 1700202488 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1602 W. Harper Street, Poplar Bluff, MO 63901 | 2014-03-05 |
| 1932521648 | Essential Family Healthcare, LLC | Clinic/Center | 1369 North Westwood Blvd., Poplar Bluff, MO 63901 | 2014-01-15 |
| Find all providers in zip 63901 | ||||
| Taxonomy Code | 126800000X |
| Grouping | Dental Providers |
| Classification | Dental Assistant |
| An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013000645 | Rebecca Ann Eggers | Dental Assistant | 1617 N Main St., Poplar Bluff, MO 63901 | 2006-10-02 |
| 1518053164 | Angela Diane Seiter | Dental Assistant | 1617 N Main St., Poplar Bluff, MO 63901 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316434277 | Kendra Jasmin Butcher | Dental Assistant | 5047 Virginia Ave Bldg 500, Fort Leonard Wood, MO 65473-9126 | 2018-04-17 |
| 1821544438 | Linda Ann Glick | Dental Assistant | 5047 Virginia Ave., Fort Leonard Wood, MO 65473-1317 | 2016-09-01 |
| 1942652086 | Robert Bartholomew Poulard | Dental Assistant | 4566 Oklahoma Ave, Bldg 2100, Fort Leonard Wood, MO 65473-1638 | 2016-07-12 |
| 1801140272 | Steven C. Monrotus, D.m.d. | Dental Assistant | 603 Maple Street, Farmington, MO 63640 | 2012-11-06 |
| 1790007631 | Taonya Lewis | Dental Assistant | 15442 Schoettler Valley Ct, Chesterfield, MO 63017-5301 | 2010-02-19 |
| 1205161726 | Kimberly Ann George | Dental Assistant | 508 W. Hwy. 71, Anderson, MO 64831 | 2009-10-16 |
| 1851416705 | Hollie Maria Sabella | Dental Assistant | 189 Baker Avenue, Webster Dental Care, Webster Groves, MO 63119 | 2007-03-20 |
| 1376637728 | Jeanie Larue Mcclanahan | Dental Assistant | 115 Walnut St., Ellington, MO 63638 | 2006-10-02 |
| 1427505973 | Monika Torres | Dental Assistant | 12720 Kansas Avenue, Fort Leonard Wood, MO 65473 | 2016-09-01 |
| 1902352743 | Jill Stephanie Simono | Dental Assistant | 12720 Kansas Ave, Bldg 789, Fort Leonard Wood, MO 65473 | 2016-08-31 |
| Find all providers with the same taxonomy | ||||
| City | POPLAR BLUFF |
| Zip Code | 63901 |
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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.