MAYA MARKOVNA ZEIBERG (NPI# 1477036267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477036267 |
| Entity Type | Individual |
| Full Name | MAYA MARKOVNA ZEIBERG |
| Credential | RDH, MSDH |
| Practice Address |
2279 Mount Vernon Rd Southington CT 06489-1007 |
| Mailing Address |
48 Hartwell Rd West Hartford CT 06117-1909 |
| Practice Telephone | 8608745200 |
| Mailing Telephone | 8608745200 |
| Enumeration Date | 2018-09-08 |
| Last Update Date | 2018-09-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 006004 | CT | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 271 Scott Swamp Rd, Farmington, CT 060323324 | 8608745200 |
| Street Address |
2279 MOUNT VERNON RD |
| City | SOUTHINGTON |
| State | CT |
| Zip Code | 06489-1007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861473043 | Johanne Lutter | Dental Hygienist | 2279 Mount Vernon Rd, Lincoln College of New England Dental Dept Attn R Ryan, Southington, CT 06489-1007 | 2005-11-07 |
| 1801348446 | Carmen Hufcut | Dental Hygienist | 2279 Mount Vernon Rd, Southington, CT 06489-1007 | 2016-10-31 |
| 1114292323 | Lincoln College of New England Dental Hygiene Clinic | Dental Hygienist | 2279 Mount Vernon Rd, Southington, CT 06489-1007 | 2012-03-21 |
| 1356616643 | John Wayman Crowell | Dentist | 2279 Mount Vernon Rd, Southington, CT 06489-1007 | 2012-03-20 |
| 1760757116 | Melanie Sim | Dental Hygienist | 2279 Mount Vernon Rd, Southington, CT 06489-1007 | 2012-03-19 |
| 1346513017 | Kelly M Fine | Dental Hygienist | 2279 Mount Vernon Rd, Southington, CT 06489-1007 | 2012-02-10 |
| 1811269236 | Maria Cholewinski | Dental Hygienist | 2279 Mount Vernon Rd, Southington, CT 06489-1007 | 2012-01-31 |
| 1689944316 | Amy Joan Mongillo | Dental Hygienist | 2279 Mount Vernon Rd, Southington, CT 06489-1007 | 2012-01-11 |
| 1902174857 | Rosemary B. Ryan | Dental Hygienist | 2279 Mount Vernon Rd, Southington, CT 06489-1007 | 2011-12-07 |
| 1295944825 | Katherine G Krivanec | Occupational Therapy Assistant | 2279 Mount Vernon Rd, Southington, CT 06489-1007 | 2007-05-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467087783 | Shankar Panwar | Counselor | K 11, 1783 Meriden Waterbury Tpke, Southington, CT 06489 | 2020-03-06 |
| 1235771056 | Kathleen Rebecca Mckinney | Music Therapist | 196 Queen St., Southington, CT 06489 | 2019-10-14 |
| 1336700103 | Julie Amanda Nichols | Behavioral Analyst | 1842 Meriden-waterbury Turnpike, Southington, CT 06489 | 2019-06-24 |
| 1396238960 | Kriston Ronalter | Physician Assistant | 775 Queen Street, Southington, CT 06489 | 2018-06-08 |
| 1366933582 | Cj's Counseling, LLC | Counselor | 17 Meriden Ave Ste 1a, Southington, CT 06489 | 2018-05-23 |
| 1104329887 | Koby Douglas Fowler | Chiropractor | 1095 West St Unit 1, Southington, CT 06489 | 2018-03-09 |
| 1447763131 | Samreen, LLC | Clinic/Center | 775 Queen St, Suite 2, Southington, CT 06489 | 2017-11-16 |
| 1902320724 | Michael Petit | Physical Therapist | 98 Main Street, 202, Southington, CT 06489 | 2017-08-02 |
| 1457712127 | Leslie Mclaughlin | Speech-Language Pathologist | 400 Flanders Rd, Southington, CT 06489 | 2016-03-09 |
| 1306219159 | Breanne Schnepf-hanbury | Counselor | 26 N Main St Ste 2b, Southington, CT 06489 | 2015-11-02 |
| Find all providers in zip 06489 | ||||
| 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 |
|---|---|---|---|---|
| 1255648739 | Susan J Wojenski | Dental Hygienist | 19 Williams St, Southington, CT 06489-4726 | 2010-09-07 |
| 1861473043 | Johanne Lutter | Dental Hygienist | 2279 Mount Vernon Rd, Lincoln College of New England Dental Dept Attn R Ryan, Southington, CT 06489-1007 | 2005-11-07 |
| 1801348446 | Carmen Hufcut | Dental Hygienist | 2279 Mount Vernon Rd, Southington, CT 06489-1007 | 2016-10-31 |
| 1114292323 | Lincoln College of New England Dental Hygiene Clinic | Dental Hygienist | 2279 Mount Vernon Rd, Southington, CT 06489-1007 | 2012-03-21 |
| 1760757116 | Melanie Sim | Dental Hygienist | 2279 Mount Vernon Rd, Southington, CT 06489-1007 | 2012-03-19 |
| 1346513017 | Kelly M Fine | Dental Hygienist | 2279 Mount Vernon Rd, Southington, CT 06489-1007 | 2012-02-10 |
| 1811269236 | Maria Cholewinski | Dental Hygienist | 2279 Mount Vernon Rd, Southington, CT 06489-1007 | 2012-01-31 |
| 1689944316 | Amy Joan Mongillo | Dental Hygienist | 2279 Mount Vernon Rd, Southington, CT 06489-1007 | 2012-01-11 |
| 1902174857 | Rosemary B. Ryan | Dental Hygienist | 2279 Mount Vernon Rd, Southington, CT 06489-1007 | 2011-12-07 |
| 1952380131 | Katie Lopez | Dental Hygienist | 2279 Mount Vernon Rd, Southington, CT 06489-1007 | 2006-01-16 |
| Find all providers in SOUTHINGTON | ||||
| City | SOUTHINGTON |
| Zip Code | 06489 |
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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.