AMANDA MARIE MCKEEFRY (NPI# 1649727108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649727108 |
| Entity Type | Individual |
| Full Name | AMANDA MARIE MCKEEFRY |
| Other Name | AMANDA MARIE THEYEL |
| Credential | RDH |
| Practice Address |
2304 Lineville Rd Suite 101 Green Bay WI 54313 |
| Mailing Address |
3894 Tall Pine Ct Green Bay WI 54313-8756 |
| Practice Telephone | 9204344600 |
| Mailing Telephone | 9206198865 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 10960-16 | WI | Dental Providers |
| Street Address |
2304 LINEVILLE RD SUITE 101 |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548823420 | Martha Lynn Drew | Licensed Practical Nurse | 3101 Molly Brown Lane, Green Day, WI 54313 | 2019-04-17 |
| 1831691872 | Melanie Hammerbeck | Dentist | 1756 Cardinal Ln, Green Bay, WI 54313 | 2018-03-06 |
| 1326594813 | Kaylee Schartner | Dental Hygienist | 2304 Lineville Road, Suite 100, Suamico, WI 54313 | 2016-08-25 |
| 1134500226 | Salvanz Enterprises Inc | Pharmacy | 2673 Lineville Road, Green Bay, WI 54313 | 2015-06-15 |
| 1467849307 | Maureen Riordan | Specialist/Technologist | 2957 S Telemark Cir., Green Bay, WI 54313 | 2015-04-17 |
| 1043556780 | Kellen James Binder | Chiropractor | 2638 Tulip Lane, Suite B, Green Bay, WI 54313 | 2012-12-28 |
| 1407092737 | Sara Ann Anderson | Registered Nurse | 2691 Shade Tree Ln, Green Bay, WI 54313 | 2008-12-16 |
| 1467601344 | Melissa Lea Socha | Speech-Language Pathologist | 2153 School Lane, Suamiro Elementary, Green Bay, WI 54313 | 2008-09-16 |
| 1003070707 | Anne Marie Hein | Physical Therapist | 3101 S Packerland Dr, Green Bay, WI 54313 | 2008-07-11 |
| 1760676183 | Richard Don Osterberg | Physical Therapist | 2052 Pinecone Cr, Green Bay, WI 54313 | 2007-08-29 |
| Find all providers in zip 54313 | ||||
| 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 |
|---|---|---|---|---|
| 1639786551 | Maggie Hall | Dental Hygienist | 2633 Development Dr. Ste 40, Green Bay, WI 54311 | 2020-09-24 |
| 1790810471 | Gwen Marie Beno | Dental Hygienist | 1711 Shawano, Green Bay, WI 54303 | 2007-02-22 |
| 1386779072 | Melissa Mary Johnson | Dental Hygienist | 1711 Shawno Ave, Green Bay, WI 54303 | 2007-02-22 |
| 1598890279 | Cynthia Linda Skaleski | Dental Hygienist | 1711 Shawano Avenue, Dental Arts Associates of Green Bay Ltd, Green Bay, WI 54303 | 2007-02-22 |
| 1760042048 | Jennifer Schroeder | Dental Hygienist | 424 S Monroe Ave, Green Bay, WI 54301-4054 | 2019-06-18 |
| 1467934851 | Alicia Nicole Gendron | Dental Hygienist | 2280 W Mason St, Green Bay, WI 54303-4707 | 2018-08-31 |
| 1104349703 | Jenifer Jo Zobro | Dental Hygienist | 2280 W Mason St, Green Bay, WI 54303-4707 | 2017-07-25 |
| 1154870228 | Melissa Ann Yeager | Dental Hygienist | 1931 Main St, Green Bay, WI 54302-3920 | 2016-09-29 |
| 1437608502 | Amy Jean Schowalter | Dental Hygienist | 1931 Main St, Green Bay, WI 54302-3920 | 2016-09-29 |
| 1093128365 | Paula Hart | Dental Hygienist | 2470 W Mason St, Green Bay, WI 54303-4711 | 2014-06-04 |
| Find all providers in GREEN BAY | ||||
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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.