HEATHER ISOM (NPI# 1578912960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578912960 |
| Entity Type | Individual |
| Full Name | HEATHER ISOM |
| Practice Address |
7101 Hoff St Bldg 9240 Ft. Benning GA 31905 |
| Mailing Address |
3921 Ashmore Dr Columbus GA 31909-3809 |
| Practice Telephone | 7065441148 |
| Mailing Telephone | 7065703797 |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2016-06-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH012267 | GA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063416949 | Heather K Isom | Emergency Medicine | 2301 Holmes St, Kansas City, MO 64108-2640 | 2005-06-09 |
| Street Address |
7101 HOFF ST BLDG 9240 |
| City | FT. BENNING |
| State | GA |
| Zip Code | 31905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134741366 | Micah Elizabeth Lajoie | Specialist/Technologist | 7148 2nd Cavalry Street, Ft. Benning, GA 31905 | 2020-05-11 |
| 1598301384 | Tiffany Nicole Wolfe | Physical Therapist | 7446 Sightseeing Road, Bldg 2515, Ft Benning, GA 31905 | 2019-11-27 |
| 1790261022 | Kyle Joseph Burkardt | Dentist | Love Dental Clinic, 7101 Hoff St, Bldg 9240, Apo, AA 31905 | 2018-07-19 |
| 1821514449 | Rebekah Schott | Dentist | 7101 Hoff St., Fort Benning, GA 31905 | 2017-08-15 |
| 1043757677 | Karen Tolliver | Dental Hygienist | 7770 Sightseeing Rd, Bldg 2828, Fort Benning, GA 31905 | 2017-01-20 |
| 1356897953 | Katelyn Dolezal | Student in an Organized Health Care Education/Training Program | 6600 Van Aalst Blvd, Bldg 9250, Fort Benning, GA 31905 | 2016-09-01 |
| 1043663636 | Vicky J. Nehl | Dental Hygienist | 11th Abn Div Rd, Bldg 3255, Fort Benning, GA 31905 | 2016-07-19 |
| 1376992719 | Xenia Key | Dental Assistant | 7770 Sightseeing Road, Bernheim Dental Clinic, Fort Benning, GA 31905 | 2016-06-07 |
| 1588013189 | Barbara Parker | Dental Assistant | 2828 Sightseeing Rd, Fort Benning, GA 31905 | 2016-06-06 |
| 1568811255 | Tavonna Ashley | Dental Hygienist | 7107 Hoff Street, Apo, AA 31905 | 2016-06-03 |
| Find all providers in zip 31905 | ||||
| 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 |
|---|---|---|---|---|
| 1477152197 | Leighann Elizabeth Rutland | Dental Hygienist | 119 Timberland Rd, Richmond Hill, GA 31324-4138 | 2020-10-23 |
| 1215543871 | Amy Lynnstarr Cohn | Dental Hygienist | 1252 Dunwoody Cv, Atlanta, GA 30338-2306 | 2020-09-18 |
| 1881214864 | Shante' L Mosley | Dental Hygienist | 2118 Belhaven Ln Se, Atlanta, GA 30315-6802 | 2020-04-20 |
| 1427687763 | Shelandra Barnes | Dental Hygienist | 3200 Highlands Pkwy Se Ste 110, Smyrna, GA 30082-5192 | 2020-04-08 |
| 1710516141 | Sara Jane Dever | Dental Hygienist | 955 Summerfield Dr, Cumming, GA 30040-1016 | 2020-04-07 |
| 1386273282 | Laranda Ninomiya | Dental Hygienist | 1595 Asheforde Dr, Marietta, GA 30068-1850 | 2020-04-03 |
| 1336778133 | Wazuri Deanna King | Dental Hygienist | 1505 W 3rd Ave Ste A, Albany, GA 31707-4420 | 2020-04-03 |
| 1669001467 | Pamela Cushenan | Dental Hygienist | 3000 Canton Hills Dr, Marietta, GA 30062-6746 | 2020-04-03 |
| 1285263095 | Judy Anne Stephenson | Dental Hygienist | 183 Paradise Blvd Ste 103b, Athens, GA 30607-1169 | 2020-04-03 |
| 1861021677 | Morristine Lynn Mcclain | Dental Hygienist | 3890 Redwine Rd Sw Ste 206, Atlanta, GA 30331-5583 | 2020-04-03 |
| Find all providers with the same taxonomy | ||||
| City | FT. BENNING |
| Zip Code | 31905 |
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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.