MRS. CATHY JO GUNVALSON (NPI# 1659407112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659407112 |
Entity Type | Individual |
Full Name | MRS. CATHY JO GUNVALSON |
Credential | RDH |
Practice Address |
Hwy 1 and Lake St Red Lake MN 56644 |
Mailing Address |
14740 500th St Gonvick MN 56644-4173 |
Practice Telephone | 2186793316 |
Practice Fax Number | 2186793990 |
Mailing Telephone | 2186790125 |
Mailing Fax Number | 2186793990 |
Enumeration Date | 2007-02-26 |
Last Update Date | 2007-07-09 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | 3033 | MN | Dental Providers |
Street Address |
HWY 1 AND LAKE ST |
City | RED LAKE |
State | MN |
Zip Code | 56644 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831708312 | Kio Hosan Ahmed | Counselor | Red Lake Hospital 24760 Hospital Drive, Red Lake, MN 56671-5667 | 2020-07-30 |
1063030419 | Red Lake Homeless Shelter Inc. | Case Management | 15855 Main Ave, Red Lake, MN 56671 | 2020-07-13 |
1184280687 | Bruce James Chaffee | Nurse Practitioner | Red Lake Hospital, 24760 Hospital Drive, Red Lake, MN 56671-5667 | 2019-05-10 |
1376026153 | Children's Healing Center | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 25060 Hwy 1 East, Red Lake, MN 56671 | 2018-09-08 |
1003332057 | Red Lake Detention Outpatient | Substance Abuse Rehabilitation Facility | 25064 Highway 1 East, Red Lake, MN 56671 | 2017-08-21 |
1831642214 | Jennifer Franke | Pharmacist | 24760 Hospital Rd., Red Lake, MN 56671 | 2016-08-02 |
1538445978 | Hoaibac Nguyen | Pharmacist | 24760 Hospital Rd, Red Lake, MN 56671 | 2011-10-31 |
1275822199 | Stephanie Erin Glessing | Pharmacist | Hwy 1 24760 Hospital Drive, Red Lake, MN 56671-0249 | 2011-03-31 |
1821391822 | Jill Christine Andersen | Physical Therapist | Hwy 1 Hospital Dr. Box 497, Red Lake, MN 56671 | 2010-12-13 |
1871802934 | Elizabeth Vivian Rose | Dentist | 24760 Hospital Dr., Red Lake, MN 56671 | 2010-10-06 |
Find all providers in RED LAKE |
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 |
---|---|---|---|---|
1104440825 | Sara Marie Anderson | Dental Hygienist | 6213 Saint Croix Trl N Apt 208, Oak Park Heights, MN 55082-6967 | 2020-05-29 |
1760027460 | Claire Roesler | Dental Hygienist | 903 Center St W # 103, Rochester, MN 55902-6278 | 2019-11-18 |
1225689060 | Kylie Anderson | Dental Hygienist | 903 Center St W Ste 130, Rochester, MN 55902-6278 | 2019-09-23 |
1770130387 | Sandra Kay Weitemier | Dental Hygienist | 25555 Gramford Ave, Wyoming, MN 55092-9356 | 2019-08-20 |
1912552803 | Gabrielle Anne Yoon | Dental Hygienist | 321 Labree Ave N, Thief River Falls, MN 56701-2019 | 2019-08-07 |
1841758851 | Susan Janine Ferrell | Dental Hygienist | East Side Dental, 895 East 7th Street, St Paul, MN 55106 | 2019-03-08 |
1619435682 | Maureen O'sullivan | Dental Hygienist | 385 S Owasso Blvd W, Roseville, MN 55113-2119 | 2019-03-07 |
1598237307 | Kelli Marie Fena | Dental Hygienist | 1613 Farm Rd S, Tower, MN 55790-5579 | 2018-12-19 |
1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
1053829721 | Rhonda Jean Schwalbe | Dental Hygienist | 727 4th St N, Virginia, MN 55792-2369 | 2018-01-16 |
Find all providers with the same taxonomy |
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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.