TARA MARIE DILLOW (NPI# 1548809379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548809379 |
| Entity Type | Individual |
| Full Name | TARA MARIE DILLOW |
| Practice Address |
354th Mdos/sgod 2630 Central Ave Ste 1m07 Eielson Afb AK 99702-2397 |
| Practice Telephone | 9073776767 |
| Mailing Telephone | 9073776767 |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2019-12-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | Dental Providers |
| Street Address |
354TH MDOS/SGOD 2630 CENTRAL AVE STE 1M07 |
| City | EIELSON AFB |
| State | AK |
| Zip Code | 99702-2397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174864904 | Eric Noll | Optometrist | 2630 Central Ave # 3349, Eielson Afb, AK 99702 | 2013-03-04 |
| 1407125123 | Optical Center | Technician/Technologist | 451 Broadway Street, Eielson Afb Aafes Exchange, Eielson, AK 99702 | 2011-12-27 |
| 1063649234 | John Michael Strothenke | Military Health Care Provider | 2630 Central Avenue Suite 1, 354 Medical Operations Squadron, Clinical Medicine Flt, Eielson Air Force Base, AK 99702 | 2009-06-16 |
| 1225272073 | Landru Derek Medvec | Military Health Care Provider | 2422 Arctic Ave, Apt D, Eielson Afb, AK 99702 | 2009-04-23 |
| 1780875617 | Victoria L Ketchum | Specialist | E. Cowles, Fairbanks Memorial Hospital, Fairbanks, AK 99702 | 2007-08-06 |
| 1689768103 | Angie M. Walker | Social Worker | 2630 Central Av, Suite 1m07, Eielson Afb, AK 99702 | 2006-10-02 |
| 1306945464 | 354th Medical Group Mdg | Military/U.S. Coast Guard Pharmacy | Bldg 3349 Central Ave, Eielson Afb, AK 99702 | 2006-09-22 |
| 1760442297 | Susan Mary Runyan | Dietitian, Registered | 354th Medical Group, 2630 Central Ave, Suite 1m07, Eielson Afb, AK 99702 | 2006-03-27 |
| 1972166916 | Andrew Joseph Colburn | Registered Nurse | 2630 Central Ave # 3349, Eielson Afb, AK 99702 | 2019-04-16 |
| 1952885121 | Anthony Ewell-kollmann | Dentist | 2630 Central Ave, Eielson Afb, AK 99702 | 2018-09-24 |
| Find all providers in zip 99702 | ||||
| Taxonomy Code | 126800000X |
| Grouping | Dental Providers |
| Classification | Dental Assistant |
| An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346840329 | Stephanie Danielle Rowe | Dental Assistant | 2630 Central Ave, Eielson Afb, AK 99702-2301 | 2020-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912359498 | Cynthia Inderrieden | Dental Assistant | Bldg 3406 Alder, Usa Dentac-ak, Attn:kamish Dental Clinic, Ft Wainwright, AK 99703-7440 | 2016-07-07 |
| 1306297056 | Christian Rodriguez | Dental Assistant | 600 Richardson Dr Bldg 634, Jber, AK 99505-8310 | 2016-06-23 |
| 1336598291 | Nikia Diggins | Dental Assistant | 600 Richardson Dr # 634, Jber, AK 99505-8310 | 2016-06-10 |
| 1649549015 | Sharon Lee Lock | Dental Assistant | 59 Punguk Street, Golovin, AK 99762 | 2011-12-14 |
| 1053695247 | Searhc | Dental Assistant | 7300 Klawock/hollis Hwy, Klawock, AK 99925-0069 | 2011-10-06 |
| 1568623106 | South Anchorage Dental Clinic LLC | Dental Assistant | 9170 Jewel Lake Road, Suite 201, Anchorage, AK 99502 | 2008-06-17 |
| 1831268218 | Amy G. Ogrinc | Dental Assistant | Building N-46 Cape Sarichef, Kodiak, AK 99619-5002 | 2006-11-07 |
| 1285610725 | Leigh C Lykins | Dental Assistant | 709 W 9th St, Ste 627, Juneau, AK 99801-1807 | 2005-12-16 |
| 1871133405 | Heidi Alexandra La Rocco Rocco | Dental Assistant | 330 E Tudor Rd, Anchorage, AK 99503-7369 | 2020-01-11 |
| 1700235546 | Tyler Tubbs | Dental Assistant | 1060 Gaffney Rd, 1055, Fort Wainwright, AK 99703-5002 | 2016-06-10 |
| Find all providers with the same taxonomy | ||||
| City | EIELSON AFB |
| Zip Code | 99702 |
Please comment or provide details below to improve the information on TARA MARIE DILLOW.
| 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.