MRS. ANGELA RENAE HAYNES (NPI# 1639651052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639651052 |
Entity Type | Individual |
Full Name | MRS. ANGELA RENAE HAYNES |
Credential | RDH |
Practice Address |
875 Union Ave Dunn Dental Bldg C 517 Memphis TN 38163 |
Mailing Address |
775 Fairway Drive Covington TN 38019 |
Practice Telephone | 9014481848 |
Mailing Telephone | 9013264600 |
Enumeration Date | 2018-09-01 |
Last Update Date | 2018-09-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | DH3447 | TN | Dental Providers |
Address | Telephone Number | Fax Number |
---|---|---|
201 Tucker Ave, Ripley, TN 38063 | 7316350166 | 7316350167 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992299234 | Angela Dawn Haynes | Registered Nurse | 10825 Hwy 64w, Bolivar, TN 38008 | 2018-06-20 |
1376184028 | Angela Haynes | Counselor | 12097 Old Hammond Hwy Ste I2, Baton Rouge, LA 70816-8679 | 2019-10-03 |
1376996710 | Angela Haynes | Nurse Practitioner | 926 Frances Dr, Haynesville, LA 71038-6100 | 2016-07-21 |
1932405537 | Angela L Haynes | Nurse Practitioner | 657 Athens St, Jefferson, GA 30549-1474 | 2011-01-31 |
Street Address |
875 UNION AVE DUNN DENTAL BLDG C 517 |
City | MEMPHIS |
State | TN |
Zip Code | 38163 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801367537 | Stacie Nicole Yocom | Pediatrics | 853 Jefferson Ave Route E206, Memphis, TN 38163 | 2018-12-06 |
1700362613 | Ibrahim Ortanca | Student in an Organized Health Care Education/Training Program | University of Tennessee 920 Madison Avenue, Suite 447 - Office of Graduate Medical Education, Memphis, TN 38163 | 2018-07-13 |
1619469103 | Julia Christine Cook | Student in an Organized Health Care Education/Training Program | University of Tennesee, 920 Madison Ave, Suite 447, Memphis, TN 38163 | 2018-05-31 |
1104359058 | Malik Fakhar | Student in an Organized Health Care Education/Training Program | 960 Madison Ave, 447, Memphis, TN 38163 | 2017-04-07 |
1215319322 | Yousef Abdel-aziz | Student in an Organized Health Care Education/Training Program | 956 Court Avenue Suite G310b, Memphis, TN 38163 | 2015-06-25 |
1770963746 | Ayman Al Dayeh | Dentist | 875 Union Ave, S312, Department of Orthodontics, Memphis, TN 38163 | 2015-06-04 |
1952789430 | Mark Iltis | Student in an Organized Health Care Education/Training Program | 910 Madison Ave, University of Tennessee, 1031, Memphis, TN 38163 | 2015-05-15 |
1700129780 | Mohammad Elballat | Student in an Organized Health Care Education/Training Program | 956 Court Ave Suite H314a, Memphis, TN 38163 | 2013-03-28 |
1932468204 | Evan Neal Paul | Student in an Organized Health Care Education/Training Program | 910 Madison Avenue, Suite 1031, Memphis, TN 38163 | 2012-05-08 |
1902198815 | Katarzyna Trebska-mcgowan | Student in an Organized Health Care Education/Training Program | 910 Madison Avenue Ste: 303, Memphis, TN 38163 | 2011-05-11 |
Find all providers in zip 38163 |
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 |
---|---|---|---|---|
1669011805 | Kimbra W Humerickhouse | Dental Hygienist | 875 Union Ave # C517, Memphis, TN 38103-3513 | 2020-01-06 |
1982243085 | Felisa Loyd Jackson | Dental Hygienist | 875 Union Ave Rm C402, Memphis, TN 38103-3513 | 2020-01-06 |
1124667530 | Rachel Elizabeth Hamilton | Dental Hygienist | 875 Union Ave Ste C402, Memphis, TN 38103-3513 | 2020-01-02 |
1780223271 | Michelle D. Miles | Dental Hygienist | 875 Union Ave # N502, Memphis, TN 38103-3513 | 2019-12-31 |
1033758792 | Amy E Galyen | Dental Hygienist | 5565 Murray Ave Ste 101, Memphis, TN 38119-3828 | 2019-12-29 |
1861041097 | Kashaundra Atkinson | Dental Hygienist | 4515 Poplar Ave Ste 406, Memphis, TN 38117-7508 | 2019-09-10 |
1376866988 | Dominique Latasha Terry | Dental Hygienist | 2595 Central Avenue, Christ Community Health Services Inc, Memphis, TN 38104 | 2010-03-10 |
1871129361 | Michaela Mitchell | Dental Hygienist | 5366 Winchester Rd, Memphis, TN 38115-4565 | 2020-03-17 |
1700425840 | Danita Jo Adams | Dental Hygienist | 875 Union Ave # C517, Memphis, TN 38103-3513 | 2020-01-06 |
1134768617 | Deborah Kay Rose | Dental Hygienist | 875 Union Ave, Memphis, TN 38103-3513 | 2019-12-31 |
Find all providers in MEMPHIS |
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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.