BRENDA FITZGERALD


Address: 2057 Pulasky Hwy., Suite 2, North East, MD 21901
Phone: 4102872323

BRENDA FITZGERALD (NPI# 1679029243) 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) 1679029243
Entity Type Individual
Full Name BRENDA FITZGERALD
Practice Address 2057 Pulasky Hwy.
Suite 2
North East
MD 21901
Mailing Address 2057 Pulasky Hwy.
Suite2
North East
MD 21901
Practice Telephone 4102872323
Enumeration Date 2016-09-01
Last Update Date 2016-09-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist 3597 MD Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
MD 3579 05

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Office Location

Street Address 2057 PULASKY HWY.
SUITE 2
City NORTH EAST
State MD
Zip Code 21901

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922653104 Beth Anders Social Worker 2057 Pulaski Highway, North East, MD 21901 2019-08-05
1275818239 Norman Lane Tosh Pharmacist 2556 W Pulaski Hwy, Northj East, MD 21901 2011-10-20
1013194034 James Moorhouse Registered Nurse Perry Point Vamhcs, Perry Point, MD 21901 2008-01-22
1861672016 Lynda Rae Kopishke Case Manager/Care Coordinator 109 North East Isles Drive, Suite 100, North East, MD 21901 2007-11-05
1134220981 Eckerd Corporation Durable Medical Equipment & Medical Supplies 101 Northeast Road, North East, MD 21901 2006-09-26
1245258516 Julie T Poludniak Family Medicine 322 East Cecil Aveneue, Suite 1, North East, MD 21901 2006-07-17
1730252677 Carolyn Marie Wells Social Worker 1930 Turkey Point Rd, North East, MD 21901 2006-11-16
1881641132 Keith R Sokoloff Family Medicine 14 Rogers Rd, North East, MD 21901 2006-05-30
1538715255 Ashley Amirah Copes Behavior Technician 219 Old Elm Rd, North East, MD 21901-1304 2019-08-18
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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 state

NPI Name Taxonomy Address Enumeration
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1164036075 Seemaben D Kamdar Dental Hygienist 3939 Ballet Way, Burtonsville, MD 20866-1305 2020-09-08
1336766922 Kesha Sherise Keys Dental Hygienist 5 Fig Ct Apt B, Annapolis, MD 21402-1009 2020-06-29
1467075523 Jennifer Stoehr Dental Hygienist 37 Maryland Ave Unit 543, Rockville, MD 20850-2463 2020-05-24
1033746185 Cynthia Ann Finfrock Dental Hygienist 650 W Baltimore St Rm 2202, Baltimore, MD 21201-1510 2020-03-26
1679108484 Natanya Broadway Dental Hygienist 5410 Lynx Ln Ste 290, Columbia, MD 21044-2483 2020-03-12
1750916029 Baohien Ngocchu Gupta Dental Hygienist 8120 Woodmont Ave Ste 110, Bethesda, MD 20814-2743 2020-03-07
1730713207 Nicoletta Avgeropoulos Dental Hygienist 9620 Greenel Rd, Damascus, MD 20872-2396 2020-02-24
1164060984 Elizabeth Marie Hafer Dental Hygienist 3509 Husted Dr, Chevy Chase, MD 20815-5628 2019-12-11
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Competitor

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City NORTH EAST
Zip Code 21901

Improve Information

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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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