MRS. MIKIALA CHAE WELLS (NPI# 1700429826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700429826 |
Entity Type | Individual |
Full Name | MRS. MIKIALA CHAE WELLS |
Credential | RDH, BSDH |
Practice Address |
1647 E Stone Dr Kingsport TN 37660-4609 |
Mailing Address |
1006 Catawba St Kingsport TN 37660-4502 |
Practice Telephone | 4232452202 |
Mailing Telephone | 2768701378 |
Enumeration Date | 2019-10-21 |
Last Update Date | 2019-10-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | 7324 | TN | Dental Providers |
Street Address |
1647 E STONE DR |
City | KINGSPORT |
State | TN |
Zip Code | 37660-4609 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750909891 | Nancy Gober | Pharmacist | Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 | 2020-07-06 |
1700437621 | Tammy Denise Leblanc | Technician | 125 Lancer Rd, Kingsport, TN 37660 | 2019-09-23 |
1831743392 | Independent Physical Therapy | Occupational Therapist | 1704 E. Stone Dr. Ste 120, Kingsport, TN 37660 | 2019-08-01 |
1871095315 | Macie Anderson | Nurse Practitioner | 411 Clay St, Kingsport, TN 37660 | 2018-03-01 |
1053813527 | Pulitzer Orthodontics, LLC | Dentist | 1200 Pulitzer Place, Kingsport, TN 37660 | 2018-03-01 |
1174038749 | Sbh-kingsport | Psychiatric Hospital | 1025 Executive Park Blvd, Kingsport, TN 37660 | 2017-12-05 |
1548771447 | Sara B Ball | Registered Nurse | 111 W Stone Dr Ste 240, Kingsport, TN 37660 | 2017-10-18 |
1821525361 | Ashley Brook Weems | Nurse Practitioner | Six Sheridan Square Suite 100, Kingsport, TN 37660 | 2017-05-15 |
1639625643 | Stephanie H Garris | Nurse Practitioner | 117 W Sevier Ave Ste 120, Kingsport, TN 37660 | 2016-08-30 |
1073965679 | Teresa Anne Starke | Physician Assistant | 8 Sheridan Square, Suite 110, Kingsport, TN 37660 | 2016-07-07 |
Find all providers in zip 37660 |
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 |
---|---|---|---|---|
1003441023 | Lori Denise Higgins | Dental Hygienist | 140 John C Breckenridge Cv, Adamsville, TN 38310-5066 | 2020-03-10 |
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 |
1063051654 | Brittany Bryson | Dental Hygienist | 6500 Stage Rd Ste 1, Bartlett, TN 38134-2882 | 2019-12-30 |
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 |
1396399135 | Jessi Alyssa Dellinger | Dental Hygienist | 303 Allendale Lane, Sevierville, TN 37876 | 2019-07-30 |
1801448832 | Reecia Lovett | Dental Hygienist | 610 Litton Rd, Oneida, TN 37841-3243 | 2019-07-10 |
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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.