MARY LUBBEN III (NPI# 1598948168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598948168 |
| Entity Type | Individual |
| Full Name | MARY LUBBEN III |
| Practice Address |
905 Franklin St Waterloo IA 50703-4407 |
| Practice Telephone | 3192724300 |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2007-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 01839 | IA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0076372 | 05 |
| Street Address |
905 FRANKLIN ST |
| City | WATERLOO |
| State | IA |
| Zip Code | 50703-4407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164421954 | Heidi M Bonthuis | Physician Assistant | 905 Franklin St, Waterloo, IA 50703-4407 | 2005-07-14 |
| 1538716980 | Zuhra Husidic | Dental Hygienist | 905 Franklin St, Waterloo, IA 50703-4407 | 2019-08-21 |
| 1154800332 | Melody K Kern | Nurse Practitioner | 905 Franklin St, Waterloo, IA 50703-4407 | 2018-08-09 |
| 1376021451 | Deborah Yu | Dentist | 905 Franklin St, Waterloo, IA 50703-4407 | 2018-08-01 |
| 1881184216 | Sahara Pradhan | Dentist | 905 Franklin St, Waterloo, IA 50703-4407 | 2018-05-10 |
| 1811425937 | Dawn R Davies | Registered Nurse | 905 Franklin St, Waterloo, IA 50703-4407 | 2017-06-02 |
| 1033661657 | Teresa Boring | Dietitian, Registered | 905 Franklin St, Waterloo, IA 50703-4407 | 2016-10-31 |
| 1023481223 | Stephanie Chamberlin | Dental Hygienist | 905 Franklin St, Waterloo, IA 50703-4407 | 2015-11-10 |
| 1689044224 | Emily Louise Horrigan | Nurse Practitioner | 905 Franklin St, Waterloo, IA 50703-4407 | 2015-09-25 |
| 1063896629 | Amy Thurm | Nurse Practitioner | 905 Franklin St, Waterloo, IA 50703-4407 | 2015-07-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306363841 | Kristie Wood | Counselor | 1420 W. Donald St, Waterloo, IA 50703 | 2017-08-25 |
| 1215359054 | Chuck Corwin | Counselor | 607 Sycamore Street, Suite 300, Waterloo, IA 50703 | 2014-01-14 |
| 1679672554 | Linda D Bartollas | Social Worker | 146 West Dale Street, Suite 101, Waterloo, IA 50703 | 2006-09-21 |
| 1558477745 | Brent Matthew Hintz | Obstetrics & Gynecology | 212 West Dale St., Suite 402, Waterloo, IA 50703 | 2006-08-21 |
| 1588629729 | Mir Ahmad Waziri | Pediatrics | 212 W Dale Street, Suite 302, Waterloo, IA 50703 | 2006-04-19 |
| 1568432615 | Wei Yang | Pathology | Northeast Iowa Pathology Associates, PC, 1825 Logan Avenue, Waterloo, IA 50703 | 2006-01-23 |
| 1689158040 | Megan Elizabeth O'neal | Nurse Practitioner | 1631 Logan Ave, Waterloo, IA 50703 | 2018-09-21 |
| 1972031359 | Stephanie Rose Smith | Nurse Practitioner | 1631 Logan Ave, Waterloo, IA 50703 | 2017-05-30 |
| 1801263462 | Krissy Jean Wieland | Nurse Practitioner | 220 Franklin St, Waterloo, IA 50703 | 2015-08-28 |
| 1699169698 | Jens Masters Olsen | Emergency Medicine | 1825 Logan Ave, Waterloo, IA 50703 | 2015-03-27 |
| Find all providers in zip 50703 | ||||
| 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 |
|---|---|---|---|---|
| 1538716980 | Zuhra Husidic | Dental Hygienist | 905 Franklin St, Waterloo, IA 50703-4407 | 2019-08-21 |
| 1023481223 | Stephanie Chamberlin | Dental Hygienist | 905 Franklin St, Waterloo, IA 50703-4407 | 2015-11-10 |
| 1730325283 | Samira Bolic | Dental Hygienist | 905 Franklin St, Waterloo, IA 50703-4407 | 2009-01-05 |
| 1871779389 | Kirstin Marchese09 | Dental Hygienist | 905 Franklin St, Waterloo, IA 50703-4407 | 2008-01-15 |
| 1689685026 | Katy Pelzer | Dental Hygienist | 905 Franklin St, Waterloo, IA 50703-4407 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336617117 | Hannah Laura Gerk | Dental Hygienist | 311 E 5th St, Saint Ansgar, IA 50472-9505 | 2018-11-09 |
| 1538559943 | Patricia Alden | Dental Hygienist | 201 2nd Ave Se, Dyersville, IA 52040-1604 | 2015-01-23 |
| 1134438179 | Ann Chambers | Dental Hygienist | 312 Lafayette Ave, Council Bluffs, IA 51503-1318 | 2010-09-24 |
| 1801030200 | Angela M Weiland | Dental Hygienist | 109 S Colby St, Algona, IA 50511-2808 | 2009-04-29 |
| 1023198934 | Stephanie Miecznikowski | Dental Hygienist | 1039 Arthur St, Iowa City, IA 52240-6665 | 2006-10-16 |
| 1932296399 | Mid Iowa Community Action, Inc | Dental Hygienist | 126 S Kellogg Ave, Suite 1, Ames, IA 50010-7030 | 2006-10-06 |
| 1447869912 | Becky Sue Renneckar | Dental Hygienist | 801 Newton Rd, Iowa City, IA 52242 | 2020-07-30 |
| 1588022974 | Juanita Furry | Dental Hygienist | 1789 Elm St, Suite A, Dubuque, IA 52001-2256 | 2016-02-01 |
| 1508255803 | Emily J Boge I | Dental Hygienist | 120 E Fayette St, Manchester, IA 52057-1705 | 2015-01-10 |
| 1851656615 | Lori Miller Brown | Dental Hygienist | 2006 S Ankeny Blvd, Building 9, Ankeny, IA 50023-8995 | 2012-07-09 |
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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.