DR. CASSIDY ANN MENNEN (NPI# 1437598976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437598976 |
| Entity Type | Individual |
| Full Name | DR. CASSIDY ANN MENNEN |
| Credential | D.M.D. |
| Practice Address |
300 Twining St Bldg 760 Maxwell Afb AL 36112-6027 |
| Mailing Address |
275 S Aspen St Bldg 600 Buckley Afb CO 80011-9562 |
| Practice Telephone | 3349535143 |
| Practice Fax Number | 3349538607 |
| Mailing Telephone | 7208476543 |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2018-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS039677 | PA | Dental Providers |
| Street Address |
300 TWINING ST BLDG 760 |
| City | MAXWELL AFB |
| State | AL |
| Zip Code | 36112-6027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235690157 | Shari-jean L. V. Hafner | Student in an Organized Health Care Education/Training Program | 300 Twining St Bldg 760, Maxwell Afb, AL 36112-6027 | 2019-03-26 |
| 1306304589 | Aillen Ford | Social Worker | 300 Twining St Bldg 760, Maxwell Afb, AL 36112-6027 | 2019-03-07 |
| 1538626254 | Jamie Nicole Wilson | Physician Assistant | 300 Twining St Bldg 760, Maxwell Afb, AL 36112-6027 | 2019-02-28 |
| 1770066912 | Sabrina Carter | Social Worker | 300 Twining St Bldg 760, Maxwell Afb, AL 36112-6027 | 2018-09-13 |
| 1437636537 | Kristine Gale Sweeney | Nurse Practitioner | 300 Twining St Bldg 760, Maxwell Afb, AL 36112-6027 | 2018-07-23 |
| 1295261865 | Jennifer Renee Lewis | Physician Assistant | 300 Twining St Bldg 760, Maxwell Afb, AL 36112 | 2017-05-02 |
| 1811441272 | Shana Dawson | Nurse Practitioner | 300 Twining St Bldg 760, Maxwell Afb, AL 36112-6027 | 2016-08-15 |
| 1588012298 | Andrew John Jurovcik | Family Medicine | 300 Twining St Bldg 760, Maxwell Afb, AL 36112-6027 | 2016-06-03 |
| 1578946240 | You Xu | Student in an Organized Health Care Education/Training Program | 300 Twining St Bldg 760, Maxwell Afb, AL 36112 | 2015-06-30 |
| 1114309143 | Lori Dawn Carver | Nurse Practitioner | 300 Twining St Bldg 760, Maxwell Afb, AL 36112-6027 | 2015-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841836970 | Alison Bees Thompson | Social Worker | 42nd Medical Group, 300 S. Twining St. Bldg 760, Maxwell Afb, AL 36112 | 2019-11-25 |
| 1881245967 | Grant M Golombeski | Military Health Care Provider | 300 S Twinning Dr., Apo, AA 36112 | 2019-09-20 |
| 1477015196 | Jennifer Marie Hudson | Counselor | Jennifer Hudson, 300 South Twining St Bldg 760, Maxwell Afb, AL 36112 | 2019-04-02 |
| 1255801049 | Jose Edwin Aviles | Military Health Care Provider | Kelly Street, Montgomery, AL 36112 | 2018-12-05 |
| 1306316963 | Lydia Price Beringer | Speech-Language Pathologist | 300 S. Twining Street 42 Nd Medical Group, Maxwell Afb, AL 36112 | 2018-11-27 |
| 1114431301 | Dean M Kot | Physician Assistant | Mxf, Kelly St, Apo, AA 36112 | 2017-11-27 |
| 1417353590 | Jamie Ellis | Social Worker | 300 S. Twining St. Bldg 760, Maxwell Afb, AL 36112 | 2014-11-17 |
| 1629419650 | Elias N Hydrick | Family Medicine | 300 S. Twining St., Bldg 760, Maxwell Afb, 42nd Medical Group, Montgomery, AL 36112 | 2013-07-06 |
| 1639454200 | Sharon Lewis | Pharmacist | 300 Southtwining St, Montgomery, AL 36112 | 2011-10-14 |
| 1104158518 | Sylvia Ann Newell | Dietitian, Registered | 50 W Ash St Bldg 841, Montgomery, AL 36112 | 2010-02-10 |
| Find all providers in zip 36112 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255326773 | David W Mcmichael | Dentist | 42 Ados/sggn, 300 South Twining St. Bldg 760, Maxwell Afb, AL 36112 | 2005-09-12 |
| 1780833228 | Sarra Elizabeth Cushen-corker | Dentist | 300 Twining St Bldg 760, Maxwell Afb, AL 36112-6027 | 2008-09-09 |
| 1710973292 | Lora Renee Skeahan | Dentist | 300 S Twining St, Maxwell Afb, AL 36112 | 2005-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475524 | Grantham Dental, Inc. | Dentist | 3620 Springhill Memorial Drive South, Mobile, AL 36608 | 2020-10-21 |
| 1669079943 | Diamond Dental Solutions | Dentist | 542 Mcqueen Smith Rd N, Prattville, AL 36066-5558 | 2020-10-08 |
| 1023615762 | Smart Dental Holdings LLC | Dentist | 4616 Montevallo Rd Ste 100, Irondale, AL 35210-3104 | 2020-10-06 |
| 1215548896 | Alexander Braden Plagenhoef | Dentist | 116 Watterson Pkwy, Trussville, AL 35173-2306 | 2020-08-16 |
| 1134739246 | Alabama Dental Professionals, P.C. | Dentist | 1200 20th St S Ste 202, Birmingham, AL 35205-3859 | 2020-08-04 |
| 1164030300 | Caleb Jeffery Hodges | Dentist | 16090 Us-72, Rogersville, AL 35652 | 2020-07-14 |
| 1346867389 | Smart Dental Holdings, LLC | Dentist | 925 Sharit Ave Ste 113, Gardendale, AL 35071-5001 | 2020-06-25 |
| 1396361341 | Noopur Shah | Dentist | 727 Stoneriver Dr, Birmingham, AL 35211-4560 | 2020-06-24 |
| 1336765650 | Lauren Brooke Cabaniss | Dentist | 22727 Al-25, Columbiana, AL 35051 | 2020-06-23 |
| 1144845264 | Elizabeth Anne Pickering | Dentist | 609 Golden Springs Rd, Anniston, AL 36207-6911 | 2020-06-15 |
| Find all providers with the same taxonomy | ||||
| City | MAXWELL AFB |
| Zip Code | 36112 |
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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.