ELIZABETH MALLOTT (NPI# 1487911228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487911228 |
| Entity Type | Individual |
| Full Name | ELIZABETH MALLOTT |
| Credential | RDH |
| Practice Address |
3245 Hospital Dr Juneau AK 99801-7809 |
| Practice Telephone | 9074636675 |
| Practice Fax Number | 9074634032 |
| Mailing Telephone | 9074636675 |
| Mailing Fax Number | 9074634032 |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2012-04-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 1034 | AK | Dental Providers |
| Street Address |
3245 HOSPITAL DR |
| City | JUNEAU |
| State | AK |
| Zip Code | 99801-7809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538167044 | Timothy H Strand | Optometrist | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2005-07-08 |
| 1770105579 | Dillon J Covey | Student in an Organized Health Care Education/Training Program | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2020-05-14 |
| 1114552304 | Rachel Noelani Jahraus | Student in an Organized Health Care Education/Training Program | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2020-03-08 |
| 1134782550 | Danna Madeline Lehneis | Student in an Organized Health Care Education/Training Program | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2019-04-22 |
| 1346703501 | Rhett Allen Berg | Student in an Organized Health Care Education/Training Program | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2019-04-12 |
| 1366936304 | Kaela Burke | Community Health Worker | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2018-06-21 |
| 1346781291 | Rochell Burke | Dentist | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2017-03-12 |
| 1083153134 | Kristin Johanson | Community Health Worker | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2017-02-21 |
| 1760840110 | Kelly O'shaughnessy | Dentist | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2016-01-31 |
| 1871950386 | Sarah Frampton | Dentist | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2016-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225652407 | Juneau Youth Services, Inc. | Community/Behavioral Health | 1600 Renninger St, Juneau, AK 99801 | 2020-06-03 |
| 1316561590 | Juneau Youth Services, Inc. | Community/Behavioral Health | 2901 Riverside Dr, Juneau, AK 99801 | 2020-06-03 |
| 1366066540 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3400 Tongass Blvd, Juneau, AK 99801 | 2020-06-03 |
| 1134743313 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3800 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
| 1235753419 | Juneau Youth Services, Inc. | Community/Behavioral Health | 9001 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
| 1043834245 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Loop Rd, Juneau, AK 99801 | 2020-06-03 |
| 1295359511 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10801 Black Bear Rd, Juneau, AK 99801 | 2020-06-02 |
| 1700400033 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-02 |
| 1831733351 | Monalisa Vaolete Lauofo | Counselor | 5594 Aisek Street, Juneau, AK 99801 | 2019-10-29 |
| 1245873033 | Ryan Isadore | Counselor | 1613 Anka Street, Juneau, AK 99801 | 2019-10-24 |
| Find all providers in zip 99801 | ||||
| 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 |
|---|---|---|---|---|
| 1386192193 | Jennifer Sanbei | Dental Hygienist | 709 W 9th St Ste 627, Juneau, AK 99801-1807 | 2016-09-21 |
| 1609200351 | Janel Davis | Dental Hygienist | 709 W 9th St, Juneau, AK 99801-1807 | 2013-08-29 |
| 1447239256 | Marilyn Linsell | Dental Hygienist | 709 W 9th St, Suite 627, Juneau, AK 99801-1807 | 2006-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831722198 | Sarah Carter | Dental Hygienist | 36721 Saint Theresa Rd, Soldotna, AK 99669-8653 | 2020-02-14 |
| 1619487808 | Elisabeth Turner | Dental Hygienist | 6611 Debarr Rd Ste 100, Anchorage, AK 99504-1706 | 2017-10-03 |
| 1801335856 | Meridian Dental, LLC | Dental Hygienist | 3465 E Meridian Park Loop Ste C, Wasilla, AK 99654-7264 | 2017-02-22 |
| 1003268657 | Brandy Tristan | Dental Hygienist | Bldg 3406, Troop Dental Clinic, Ft. Wainwright, AK 99703 | 2016-07-07 |
| 1679922496 | Karen Peters | Dental Hygienist | 600 Richardson Dr, Bld. # 634, Fort Richardson, AK 99505-8310 | 2016-06-13 |
| 1396116182 | Kelly Adrian | Dental Hygienist | 19436 Laura Lee Cir, Eagle River, AK 99577-8415 | 2015-10-19 |
| 1679909253 | Kjerstena Elizabeth Yocum | Dental Hygienist | 215 Front Street, Wrangell, AK 99929 | 2013-09-16 |
| 1356600886 | Di Ann Thain | Dental Hygienist | 7300a Klawock-hollis Hwy, Klawock, AK 99925 | 2012-05-03 |
| 1134497936 | Barbara J Sylvester | Dental Hygienist | 122 First Ave Suite 600, Fairbanks, AK 99707-2585 | 2011-12-07 |
| 1881970184 | Laura M Greer | Dental Hygienist | 8150 Northwind Ave # B, Anchorage, AK 99504-4141 | 2011-10-31 |
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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.