MICKI STAFKO-DOUGLASS


Address: 745 Russell St, Craig, CO 81625-2019
Phone: 9708248233

MICKI STAFKO-DOUGLASS (NPI# 1609239714) 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) 1609239714
Entity Type Individual
Full Name MICKI STAFKO-DOUGLASS
Credential RDH
Practice Address 745 Russell St
Craig
CO 81625-2019
Practice Telephone 9708248233
Mailing Telephone 9708248233
Enumeration Date 2016-04-05
Last Update Date 2016-04-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist DH.002023726 CO Dental Providers

Office Location

Street Address 745 RUSSELL ST
City CRAIG
State CO
Zip Code 81625-2019

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225170996 Ann T Irvin Registered Nurse 745 Russell St, Nwcvna Craig Moffat County Rio Blanco Co, Craig, CO 81625 2007-02-12
1043724164 Annie Sadvar Dental Hygienist 745 Russell St, Craig, CO 81625-2019 2017-11-28
1033642152 Olivia Scheele Registered Nurse 745 Russell St, Craig, CO 81625-2019 2017-04-05
1669910881 Joshua Holm Registered Nurse 745 Russell St, Craig, CO 81625-2019 2017-02-08
1003291691 April Anthony Registered Nurse 745 Russell St, Craig, CO 81625-2019 2015-07-23
1831476233 Julia Catherine Von Allmen Physician Assistant 745 Russell St, Craig, CO 81625-2019 2011-11-14
1063663292 Northwest Colorado Visting Nurse Association Clinic/Center 745 Russell St, Craig, CO 81625-2019 2008-10-07
1023277563 Northwest Co Visiting Nurse Ass Public Health or Welfare 745 Russell St, Craig, CO 81625-2019 2008-06-09
1649494287 Jean Carol Jones Registered Nurse 745 Russell St, Craig, CO 81625 2007-04-13
1649300252 Robbie Lee Frentress Registered Nurse 745 Russell St, Craig, CO 81625 2007-03-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619446481 County of Moffat Emergency Medical Technician, Paramedic 221 W. Victory Way, Suite 130, Craig, CO 81625 2018-11-21
1912374703 Shannon Mayes Registered Nurse 745 Russell Street, Craig, CO 81625 2015-08-27
1407267628 A & S Counseling Social Worker 401 Russell Street, Craig, CO 81625 2014-05-09
1356687727 Joanne Mattio Snow Social Worker 11 W. Victory Way, Suite 209, Craig, CO 81625 2012-12-12
1205163409 Aerocare Holdings, Inc. Durable Medical Equipment & Medical Supplies 512 Yampa Ave, Craig, CO 81625 2009-11-09
1124213665 Steven Paul Walls Counselor 11 West Victory Way, Suite# 209, Craig, CO 81625 2007-09-07
1225170970 Brittany Corrine Doolin Registered Nurse 745 Russel St, Craig, CO 81625 2007-02-12
1578644175 Northwest Colorado Dental Coalition Clinic/Center 485 Yampa Avenue, Craig, CO 81625 2006-10-18
1962438218 Dillon Companies LLC Durable Medical Equipment & Medical Supplies 505 W Victory Way, Craig, CO 81625 2006-06-25
1265491971 Wendy Ann Nadolny Social Worker 11 W Victory Way Ste 203, Craig, CO 81625 2006-03-21
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Taxonomy Information

Taxonomy Code 124Q00000X
Grouping Dental Providers
Classification Dental Hygienist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851612840 Tammy Cairns Dental Hygienist 2192 Willow St, Craig, CO 81625-3745 2010-06-14
1750865572 Lorena Rodriguez Dental Hygienist 485 Yampa Ave, Craig, CO 81625-2609 2018-09-18
1043724164 Annie Sadvar Dental Hygienist 745 Russell St, Craig, CO 81625-2019 2017-11-28
1356713713 Malea Johnson Dental Hygienist 485 Yampa Ave, Craig, CO 81625-2609 2015-10-26
1255716312 Cindee Clark Dental Hygienist 485 Yampa Ave, Craig, CO 81625-2609 2015-07-29
1285853200 Lyndi Kaye Mcdermott Dental Hygienist 485 Yampa Ave, Craig, CO 81625-2609 2007-04-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1194326900 Kassidee N Ficken Dental Hygienist 6671 Highway 36, Joes, CO 80822 2020-11-06
1932708302 Andrea Viger Dental Hygienist 4167 Clifton Ct, Boulder, CO 80301-1712 2020-10-18
1841803657 Tanara Dawn Block Dental Hygienist 1325 Hover St Ste 201, Longmont, CO 80501-3176 2020-08-31
1750993150 Holly Delana Julch Dental Hygienist 2837 Federal Blvd, Denver, CO 80211-4117 2020-08-18
1841801032 Ashley Lindsey Dental Hygienist 87 Merchant Dr # Usa, Montrose, CO 81401-3015 2020-08-12
1245849256 Manish Tomar Dental Hygienist 4562 E Dartmouth Ave, Denver, CO 80222-6732 2020-07-26
1962028464 Sarah Jane Tanner Dental Hygienist 1190 Everett Ct, Lakewood, CO 80215-4829 2020-06-19
1578186060 Lacie Overman Dental Hygienist 360 Peak One Dr # 100, Frisco, CO 80443-5948 2020-05-19
1811518095 Victoria Lynn Wilk Dental Hygienist 10186 Highland Meadow Cir Apt 33-205, Parker, CO 80134-9481 2020-04-29
1912526351 Janet Karen Madrid Dental Hygienist 4023 Stampede Dr, Castle Rock, CO 80104-7849 2020-04-15
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Competitor

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City CRAIG
Zip Code 81625

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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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