MRS. DOMINIQUE LATASHA TERRY (NPI# 1376866988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376866988 |
| Entity Type | Individual |
| Full Name | MRS. DOMINIQUE LATASHA TERRY |
| Credential | RDH |
| Practice Address |
2595 Central Avenue Christ Community Health Services Inc Memphis TN 38104 |
| Mailing Address |
2877 Poplar Avenue Christ Community Health Services Inc Memphis TN 38111 |
| Practice Telephone | 9012608551 |
| Practice Fax Number | 9012608590 |
| Mailing Telephone | 9013240093 |
| Mailing Fax Number | 9013244029 |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2010-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH05369 | TN | Dental Providers |
| Street Address |
2595 CENTRAL AVENUE CHRIST COMMUNITY HEALTH SERVICES INC |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900367 | Christy White | Recreation Therapist | 1030 Jefferson Ave (rt117), Memphis, TN 38104 | 2020-10-19 |
| 1821615873 | Altiana Carter | Optometrist | 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 | 2020-06-25 |
| 1952898413 | Family To Family Adult Care Service | Chore Provider | 1331 Union Ave Suite 1028, Mempnis, TN 38104 | 2018-04-19 |
| 1326544800 | Kimberly Vestoria Mcclinton | Nurse Practitioner | 2200 Union Ave 1, Memphis, TN 38104 | 2018-04-03 |
| 1649799339 | Benjamin Duhart Jr. | Pharmacist | 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 | 2017-09-13 |
| 1134644982 | Amy Michelle Wise | Nurse Practitioner | 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 | 2017-08-13 |
| 1316468572 | Jinger Cathey | Social Worker | 1330 Jefferson Ave, Memphis, TN 38104 | 2017-06-28 |
| 1336669183 | Charma May Kavuncu | Social Worker | 1407 Union Ave Ste 1100, Memphis, TN 38104 | 2017-06-22 |
| 1003345398 | Angelica J Dennis | Nurse Practitioner | 1265 Union, Memphis, TN 38104 | 2017-06-08 |
| 1609302546 | Cheryl Beene | Nurse Practitioner | 1211 Union Ave Ste 475, Memphis, TN 38104 | 2017-05-11 |
| Find all providers in zip 38104 | ||||
| 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 |
|---|---|---|---|---|
| 1669011805 | Kimbra W Humerickhouse | Dental Hygienist | 875 Union Ave # C517, Memphis, TN 38103-3513 | 2020-01-06 |
| 1982243085 | Felisa Loyd Jackson | Dental Hygienist | 875 Union Ave Rm C402, Memphis, TN 38103-3513 | 2020-01-06 |
| 1124667530 | Rachel Elizabeth Hamilton | Dental Hygienist | 875 Union Ave Ste C402, Memphis, TN 38103-3513 | 2020-01-02 |
| 1780223271 | Michelle D. Miles | Dental Hygienist | 875 Union Ave # N502, Memphis, TN 38103-3513 | 2019-12-31 |
| 1033758792 | Amy E Galyen | Dental Hygienist | 5565 Murray Ave Ste 101, Memphis, TN 38119-3828 | 2019-12-29 |
| 1861041097 | Kashaundra Atkinson | Dental Hygienist | 4515 Poplar Ave Ste 406, Memphis, TN 38117-7508 | 2019-09-10 |
| 1639651052 | Angela Renae Haynes | Dental Hygienist | 875 Union Ave Dunn Dental Bldg C 517, Memphis, TN 38163 | 2018-09-01 |
| 1871129361 | Michaela Mitchell | Dental Hygienist | 5366 Winchester Rd, Memphis, TN 38115-4565 | 2020-03-17 |
| 1700425840 | Danita Jo Adams | Dental Hygienist | 875 Union Ave # C517, Memphis, TN 38103-3513 | 2020-01-06 |
| 1134768617 | Deborah Kay Rose | Dental Hygienist | 875 Union Ave, Memphis, TN 38103-3513 | 2019-12-31 |
| Find all providers in MEMPHIS | ||||
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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.