LAURIE KATHLEEN CLARK (NPI# 1619382082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619382082 |
Entity Type | Individual |
Full Name | LAURIE KATHLEEN CLARK |
Credential | RDH |
Practice Address |
777 E Galveston St Chandler AZ 85225-8273 |
Mailing Address |
14000 N 94th St Unit 2176 Scottsdale AZ 85260-7792 |
Practice Telephone | 4808127900 |
Mailing Telephone | 6029090587 |
Enumeration Date | 2014-06-24 |
Last Update Date | 2014-06-24 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | H01509 | AZ | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407490246 | Laurie Beth Clark | Nurse Practitioner | 17009 E Cheyenne Dr, Independence, MO 64056 | 2019-11-05 |
1801864178 | Laurie C Clark | Family Medicine | 14002 E 21st St Ste 1130, Tulsa, OK 74134-1408 | 2006-03-10 |
1467790295 | Laurie A Clark | Speech-Language Pathologist | 455 Boot Rd, Downingtown, PA 19335-3043 | 2013-01-29 |
1023388014 | Laurie Anne Clark | Physician Assistant | 95 Collier Rd Nw Ste 6015, Atlanta, GA 30309-1750 | 2012-01-06 |
1285779538 | Laurie Clark | Speech-Language Pathologist | 144 Canal St, Nashua, NH 03064-2886 | 2007-02-21 |
Street Address |
777 E GALVESTON ST |
City | CHANDLER |
State | AZ |
Zip Code | 85225-8273 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083978985 | Michelle Lynn Figurski | Counselor | 777 E Galveston St, Chandler, AZ 85225-8273 | 2012-06-26 |
1578067229 | Jessica Luz Reynoso | Marriage & Family Therapist | 777 E Galveston St, Chandler, AZ 85225-8273 | 2018-03-19 |
1689177842 | Sheba Nasha Jones | Dental Hygienist | 777 E Galveston St, Chandler, AZ 85225-8273 | 2018-03-14 |
1538554985 | Southwest Behavioral Health Services Inc. | Community/Behavioral Health | 777 E Galveston St, Chandler, AZ 85225-8273 | 2015-04-02 |
1689082026 | Peggy Cropper | Dental Hygienist | 777 E Galveston St, Chandler, AZ 85225-8273 | 2014-07-29 |
1639581168 | Michelle Lynn Gross-panico | Dental Hygienist | 777 E Galveston St, Chandler, AZ 85225-8273 | 2014-06-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528609724 | Marina Hinojos | Social Worker | 1205 E Frye Rd, Building A, Chandler, AZ 85225 | 2019-09-30 |
1396308854 | Fit Kids, Inc | Local Education Agency (LEA) | 250 S. Mcqueen Road, Chandler, AZ 85225 | 2019-04-19 |
1811489594 | Skyler Jay Smith | Dentist | 1992 E Ray Rd, Suite #2, Chandler, AZ 85225 | 2018-05-30 |
1881190049 | Novocur Surgery Center, LLC | Clinic/Center | 604 W. Warner Road, Building A, Chandler, AZ 85225 | 2018-04-04 |
1467961292 | Shameka Uzell Rodriguez | Licensed Practical Nurse | 2222 N Mcqueen Rd, 1068, Chandler, AZ 85225 | 2017-09-25 |
1174069546 | Cynthia Taylor | Contractor | 2800 N Arizona Ave Ste 229, Chandler, AZ 85225 | 2017-01-10 |
1134679582 | Rebecca Nelson | Specialist/Technologist | 860 N. Mcqueen Rd., Unit 1142, Chandler, AZ 85225 | 2016-10-10 |
1134675077 | Anything Is Possible Youth & Family Services, LLC | Community/Behavioral Health | 128 West Boxelder Place, Suite #101, Chandler, AZ 85225 | 2016-08-31 |
1871954255 | Jillian Perna | Occupational Therapist | 3310 N Sunridge Ln, Chandler, AZ 85225 | 2016-03-14 |
1922482017 | Advanced Neurologic Rehabilitation | Clinic/Center | 3160 N. Arizona Ave, Suite 106, Chandler, AZ 85225 | 2015-07-17 |
Find all providers in zip 85225 |
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 |
---|---|---|---|---|
1275840167 | Tonya Dee Parks | Dental Hygienist | 485 South Dobson Road, Suite 204, Chandler, AZ 85224 | 2010-09-13 |
1023164233 | Stephanie Joan Malcher | Dental Hygienist | 1506 W Mission Dr, Chandler, AZ 85224-2216 | 2007-01-28 |
1689763658 | Trinity Jean Cleveland | Dental Hygienist | 485 S Dobson Rd Ste 204, Chandler, AZ 85224-5604 | 2006-10-11 |
1326694738 | Laurie Ann Brown | Dental Hygienist | 610 N Alma School Rd Ste 4, Chandler, AZ 85224-3687 | 2019-08-12 |
1689177842 | Sheba Nasha Jones | Dental Hygienist | 777 E Galveston St, Chandler, AZ 85225-8273 | 2018-03-14 |
1477954808 | Dinh Ly | Dental Hygienist | 485 S Dobson Rd Ste 204, Chandler, AZ 85224-5604 | 2014-09-04 |
1497163836 | Karen Felty | Dental Hygienist | 1955 W Frye Rd, Chandler, AZ 85224-6282 | 2014-07-29 |
1689082026 | Peggy Cropper | Dental Hygienist | 777 E Galveston St, Chandler, AZ 85225-8273 | 2014-07-29 |
1639581168 | Michelle Lynn Gross-panico | Dental Hygienist | 777 E Galveston St, Chandler, AZ 85225-8273 | 2014-06-02 |
1710327341 | Mary Elizabeth Tierney | Dental Hygienist | 485 S Dobson Rd, #204, Chandler, AZ 85224-5602 | 2013-06-27 |
Find all providers in CHANDLER |
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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.