SENIOR DENTAL HYGIENE, LLC (NPI# 1417240649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417240649 |
| Entity Type | Organization |
| Organization Name | SENIOR DENTAL HYGIENE, LLC |
| Practice Address |
3100 Tradition Cir Mount Pleasant SC 29466-7200 |
| Mailing Address |
Po Box 2554 Mount Pleasant SC 29465-2554 |
| Practice Telephone | 8436964712 |
| Mailing Telephone | 8436964712 |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2011-05-20 |
| Authorized Official Name | MRS. DENISE NEWMAN SEXTON (PRESIDENT/MANAGER) |
| Authorized Official Telephone | 8436964712 |
| Authorized Official Credential | RDH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 2226 | SC | Dental Providers |
| Street Address |
3100 TRADITION CIR |
| City | MOUNT PLEASANT |
| State | SC |
| Zip Code | 29466-7200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851790422 | Jeanne Marie Chirdon | Speech-Language Pathologist | 3100 Tradition Cir, Mount Pleasant, SC 29466-7200 | 2014-08-19 |
| 1750799615 | Catherine Robertson | Physical Therapist | 3100 Tradition Cir, Mount Pleasant, SC 29466-7200 | 2014-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689276 | Sweetgrass Pharmacy Carolina Park, LLC | Pharmacy | 3485 Park Avenue Blvd, Mount Pleasant, SC 29466 | 2020-11-02 |
| 1942836754 | Southern Grace Pain & Regenerative Medicine | Clinic/Center | 3520 Park Avenue Blvd., Suite 105, Mount Pleasant, SC 29466 | 2020-03-13 |
| 1174175038 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 225 Faison Rd, Mount Pleasant, SC 29466 | 2019-07-11 |
| 1780246553 | Stacy Nicole Sherbutt | Dental Hygienist | Naval Weapons Statiom, 316 Red Bank Rd, Goose Creek, SC 29466 | 2019-07-02 |
| 1144780909 | Chantal Pilar Debreceny | Nurse Practitioner | 1167 Basketweave Drive, #204, Mount Pleasant, SC 29466 | 2019-03-20 |
| 1609364835 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 3525 Park Ave Blvd., Mount Pleasant, SC 29466 | 2018-04-24 |
| 1528561453 | Sea Island Medical Care | Clinic/Center | 2114 Highway 41, Suite 105, Mount Pleasant, SC 29466 | 2018-03-16 |
| 1992217707 | Kristina Estelle Johnson | Family Medicine | 2662, Lohr Dr, Mount Pleasant, SC 29466 | 2017-11-02 |
| 1801324181 | Collin T Weyer | Physical Therapist | 3301 Stockdale Street, Suite B, Mt. Pleasant, SC 29466 | 2017-05-31 |
| 1023467479 | Mariesa Eikevik | Physical Therapist | 3559 Franklin Tower Dr, Mount Pleasant, SC 29466 | 2016-06-07 |
| Find all providers in zip 29466 | ||||
| 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 |
|---|---|---|---|---|
| 1124385406 | Kimberly Boudreaux | Dental Hygienist | 5559 Deerfield Rd, Mount Pleasant, WI 53406-1819 | 2012-04-11 |
| 1013556547 | Jeannie Ledwitch | Dental Hygienist | 1320 S Green Bay Rd, Mount Pleasant, WI 53406-4402 | 2020-01-01 |
| 1861963704 | Gail Joan Cyzman | Dental Hygienist | 929 Bowman Rd Ste 100, Mount Pleasant, SC 29464-3237 | 2018-12-17 |
| 1801389887 | Kandace Anderson | Dental Hygienist | 1320 S Green Bay Rd, Mount Pleasant, WI 53406-4402 | 2018-06-13 |
| 1366941437 | Deborah Frederickson | Dental Hygienist | 1320 S Green Bay Rd, Mount Pleasant, WI 53406-4402 | 2018-02-05 |
| 1538600135 | Karen Diane Marano | Dental Hygienist | 1320 S Green Bay Rd, Mount Pleasant, WI 53406-4402 | 2017-03-15 |
| 1508316753 | Idental | Dental Hygienist | 1320 S Green Bay Rd, Mount Pleasant, WI 53406-4402 | 2016-10-12 |
| 1669920831 | Cindi Due | Dental Hygienist | 1320 S Green Bay Rd, Mount Pleasant, WI 53406-4402 | 2016-09-16 |
| 1134575566 | Kristine Blumm | Dental Hygienist | 1320 S Green Bay Rd, Mount Pleasant, WI 53406-4406 | 2016-05-04 |
| 1386050052 | Tanya Larsen | Dental Hygienist | 6722 Green Ridge Dr, Mount Pleasant, WI 53406-5114 | 2014-07-02 |
| Find all providers in MOUNT PLEASANT | ||||
| City | MOUNT PLEASANT |
| Zip Code | 29466 |
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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.