MARY B MEDIGE


Address: 21 Dental Squadron/sgdd, 1055 E. Stewart Bldg 2018, Peterson Afb, CO 80925
Phone: 7195661333

MARY B MEDIGE (NPI# 1598372476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598372476
Entity Type Individual
Full Name MARY B MEDIGE
Practice Address 21 Dental Squadron/sgdd
1055 E. Stewart Bldg 2018
Peterson Afb
CO 80925
Practice Telephone 7195661333
Mailing Telephone 7195661333
Enumeration Date 2020-09-25
Last Update Date 2020-09-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 126800000X Dental Assistant Dental Providers

Office Location

Street Address 21 DENTAL SQUADRON/SGDD
1055 E. STEWART BLDG 2018
City PETERSON AFB
State CO
Zip Code 80925

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Taxonomy Information

Taxonomy Code 126800000X
Grouping Dental Providers
Classification Dental Assistant

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073129284 Maurice Coleman Dental Assistant 1055 E Stewart Ave Bldg 2018, Peterson Afb, CO 80914-2900 2020-09-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1407455736 Ashlee Kristina Griffin Dental Assistant 1055 E Stewart Ave Bldg 2019, Colorado Springs, CO 80914-2900 2020-10-19
1548876543 Ana Doran Dental Assistant 1055 E Stewart Ave, Colorado Springs, CO 80914-2900 2020-09-16
1902458862 Dezi Grace Doppel Dental Assistant 8580 Scarborough Dr Ste 240, Colorado Springs, CO 80920-7584 2019-07-11
1861053498 Jennifer Regina Sanford Dental Assistant 595 Chapel Hills Dr Ste 300, Colorado Springs, CO 80920-1057 2019-06-25
1861058562 Megan Breanna Kaufman Dental Assistant 10016 Crystal Cir, Commerce City, CO 80022-9559 2019-05-17
1821502923 Kathleen Lubos Ambros-dahilig Dental Assistant 2240 Gilpin Ave, Colorado Springs, CO 80910 2017-11-28
1851804595 Nick Gregorio Cayetano Dental Assistant 7205 Coral Ridge Dr, Colorado Springs, CO 80925-9404 2017-11-15
1891214243 Sara Jane Rocks Dental Assistant 1090 Hill Cir, Colorado Springs, CO 80904-1034 2017-09-18
1851818751 Jeri Rene Morris Schmidt Dental Assistant 7380 Glenburn Dr, Fountain, CO 80817-4087 2017-08-23
1497277826 Cassandra Lynn Thompson Dental Assistant 3038 W Kiowa St, Colorado Springs, CO 80904-2119 2017-07-07
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Competitor

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City PETERSON AFB
Zip Code 80925

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Dataset Information

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.

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