KELLEY DOHERTY LAVIN (NPI# 1447645684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447645684 |
| Entity Type | Individual |
| Full Name | KELLEY DOHERTY LAVIN |
| Credential | RDH |
| Practice Address |
174 State Route 101 Village Shoppes Bedford Bedford NH 03110-5417 |
| Practice Telephone | 6034725733 |
| Mailing Telephone | 6034725733 |
| Enumeration Date | 2015-04-04 |
| Last Update Date | 2015-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 02125 | NH | Dental Providers |
| Street Address |
174 STATE ROUTE 101 VILLAGE SHOPPES BEDFORD |
| City | BEDFORD |
| State | NH |
| Zip Code | 03110-5417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700895919 | James Peter Cassidy | Dentist | 174 State Route 101, #1, Bedford, NH 03110 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587300 | Jillian Lee Grosse | Dietitian, Registered | 80 Palomino Lane Nutrition In Motion, LLC, Suite 101, Bedford, NH 03110 | 2019-06-19 |
| 1154892909 | Artemis Clinic | Acupuncturist | 288 South River Road, Bldg A, Unit 1, Bedford, NH 03110 | 2018-12-05 |
| 1942790217 | Wendy Arleen Williams | Acupuncturist | 360 Route 101 Bldg. 1, Suite E, Bedford, NH 03110 | 2018-05-13 |
| 1336638352 | Elliot Hospital of The City of Manchester | Pharmacy | 25 Leavy Dr, Bedford, NH 03110 | 2018-05-04 |
| 1588182034 | Camille Redmond | Nutritionist | 360 Route 101 Suite 3 A, Bedford, NH 03110 | 2017-09-05 |
| 1750837092 | Katya Kudryavtseva | Acupuncturist | 288 South River Rd, Bldg A, Unit 1, Bedford, NH 03110 | 2016-08-28 |
| 1003268004 | Bethany Heidemann | Occupational Therapist | 66 Hawthorne Dr S, Bedford, NH 03110 | 2016-07-01 |
| 1477913044 | Ultraflex Systems Inc. | Durable Medical Equipment & Medical Supplies | 150 Constitution Drive, 1st Floor, Bedford, NH 03110 | 2016-02-25 |
| 1508243676 | Lydia Ann Nickerson | Dental Hygienist | 4 Bell Hill Rd., Bedford, NH 03110 | 2015-04-28 |
| 1629477021 | Convenientmd LLC | Clinic/Center | 3 Nashua Rd, Bedford, NH 03110 | 2014-08-21 |
| Find all providers in zip 03110 | ||||
| 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 |
|---|---|---|---|---|
| 1508243676 | Lydia Ann Nickerson | Dental Hygienist | 4 Bell Hill Rd., Bedford, NH 03110 | 2015-04-28 |
| 1558970384 | Martha Swanson Mereen | Dental Hygienist | 104 Railroad St, Bedford, PA 15522-1013 | 2020-07-28 |
| 1639621238 | Robin Grasso | Dental Hygienist | 634 Old Post Rd, Bedford, NY 10506-1211 | 2016-10-29 |
| 1508260217 | Donna Jamrog | Dental Hygienist | 90 Vandenberg Dr, 66th Med Squadron, Hanscom Afb, Bedford, MA 01731-2104 | 2014-10-09 |
| 1801052501 | Kristin J Hays | Dental Hygienist | 90 Vandenberg Dr, Bedford, MA 01731-2104 | 2008-08-01 |
| 1194873240 | Rebecca Johnson | Dental Hygienist | 2906 Evergreen Dr, Bedford, IN 47421-5288 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316509128 | Brittanie Lister | Dental Hygienist | 17 Hill St, Hudson, NH 03051-3631 | 2019-07-01 |
| 1316506686 | Lynn Marie Noonan | Dental Hygienist | 69v Island Street, Keene, NH 03431 | 2019-06-11 |
| 1154988483 | Kelly Jean O'brien | Dental Hygienist | Nhti-concord's Community College, 31 College Drive, Concord, NH 03301 | 2019-05-22 |
| 1073170452 | Deborah Carol Ditommaso | Dental Hygienist | 69 Island St Ste V, Keene, NH 03431-3507 | 2019-05-21 |
| 1003391590 | Annette Lisa Cole | Dental Hygienist | 262 Cottage St Ste 230, Littleton, NH 03561-4143 | 2018-10-01 |
| 1194206912 | Jennifer Pearl | Dental Hygienist | 6 Loudon Rd Ste 2, Concord, NH 03301-5321 | 2018-08-29 |
| 1831600394 | Kirsten V Bielarski | Dental Hygienist | 16 Foundry St, Concord, NH 03301-5431 | 2017-10-23 |
| 1912446287 | Joan Timmerman | Dental Hygienist | 29 Oakdale Ave, Manchester, NH 03103-4621 | 2017-02-19 |
| 1972050607 | Patricia Amaral | Dental Hygienist | 20 Almont St, Nashua, NH 03060-4327 | 2016-09-11 |
| 1831645951 | Rachel Leo Flagg | Dental Hygienist | 31 College Dr, Concord, NH 03301-7425 | 2016-08-29 |
| Find all providers with the same taxonomy | ||||
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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.