MARY E LUCIDO (NPI# 1588732663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588732663 |
| Entity Type | Individual |
| Full Name | MARY E LUCIDO |
| Credential | DMD |
| Practice Address |
2201 State Street Alton IL 62002 |
| Practice Telephone | 6184628123 |
| Practice Fax Number | 6184621003 |
| Mailing Telephone | 6184628123 |
| Mailing Fax Number | 6184621003 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679189625 | Mary Ellen Lucido | Behavior Technician | 1315 Alhambra Blvd Ste 110, Sacramento, CA 95816-5245 | 2020-09-16 |
| Street Address |
2201 STATE STREET |
| City | ALTON |
| State | IL |
| Zip Code | 62002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285272807 | Jersey Community Hospital | Obstetrics & Gynecology | #2 Memorial Drive, Suite 203, Alton, IL 62002 | 2019-12-13 |
| 1912540659 | Kelsi N Harre | Community Health Worker | 2603 N. Rogers Ave., Alton, IL 62002 | 2019-10-25 |
| 1841848322 | Destiny L Miller | Technician | 3429 Meridocia St, Alton, IL 62002 | 2019-08-28 |
| 1942854633 | Jessica Leigh Jump | Speech-Language Pathologist | 453 Bluff Street, Alton, IL 62002 | 2019-07-30 |
| 1194380741 | Vasiliki Kytridou | Dentist | 2800 College Avenue Southern Il University School of De, Building 285, Alton, IL 62002 | 2019-05-08 |
| 1982125910 | Amy Nicole Spalding | Social Worker | 1123 Harrison St, Alton, IL 62002 | 2017-06-29 |
| 1962856310 | Patricia Gregory | Social Worker | 5090 Humbert Rd, Alton, IL 62002 | 2016-04-21 |
| 1447612510 | Alanna Lynn Mcnelly | Chiropractor | 219 Piasa St, Suite 200, Alton, IL 62002 | 2016-03-28 |
| 1174983050 | Roberta's Lovely Ladies Boutique | Mastectomy Fitter | 603 W. Delmar, Alton, IL 62002 | 2016-03-04 |
| 1184081556 | Darcy Graham | Nurse Practitioner | 4 Memorial Dr # 210, Alton, IL 62002 | 2016-01-15 |
| Find all providers in zip 62002 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275151441 | Priya Sapra Kullar | Dentist | 3020 College Ave Apt 1, Alton, IL 62002-4746 | 2020-07-13 |
| 1922489756 | Lucas A Steele | Dentist | 2800 College Ave Bldg 273, Alton, IL 62002-4742 | 2015-06-17 |
| 1366780777 | Jaser Diaz Dds Pllc | Dentist | 3013 E Main Ave Ste B, Alton, TX 78573-0932 | 2013-01-18 |
| 1245503168 | Cyril Pandarakalam | Dentist | 2800 College Ave Bldg 288, Alton, IL 62002-4742 | 2012-02-23 |
| 1548490220 | Jaser Diaz | Dentist | 3013 E Main Ave, Ste B, Alton, TX 78573-0931 | 2009-07-16 |
| 1245414796 | Michael T Carrow | Dentist | 2708 Corner Ct, Alton, IL 62002-5328 | 2007-12-19 |
| 1265561799 | Francis Madamba | Dentist | 3432 College Ave, Alton, IL 62002-5006 | 2007-03-02 |
| 1639218803 | James H Kiehne | Dentist | 215 E Center Dr, Suite E, Alton, IL 62002-5993 | 2007-02-05 |
| 1700965258 | Rosa M Mora | Dentist | 921 E Main Avenue Suite #2, Alton, TX 78573 | 2006-11-03 |
| 1962581991 | Frank A Mora | Dentist | 921 E Main Ave Ste 2, Alton, TX 78573 | 2006-11-02 |
| Find all providers in ALTON | ||||
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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.