MS. SUSAN B. JUDSON-PREBLE (NPI# 1700950466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700950466 |
| Entity Type | Individual |
| Full Name | MS. SUSAN B. JUDSON-PREBLE |
| Credential | RDH |
| Practice Address |
23 Wabanaki Way Indian Island ME 04468-1252 |
| Practice Telephone | 2078177400 |
| Practice Fax Number | 2078275022 |
| Mailing Telephone | 2078177400 |
| Mailing Fax Number | 2078275022 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 8829178 | ME | Dental Providers |
| Street Address |
23 WABANAKI WAY |
| City | INDIAN ISLAND |
| State | ME |
| Zip Code | 04468-1252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679578025 | Leslie Maxwell Ohmart IIi | Pharmacist | 23 Wabanaki Way, Indian Island, ME 04468-1252 | 2005-06-14 |
| 1700293057 | Crystal Sutton | Nurse Practitioner | 23 Wabanaki Way, Indian Island, ME 04468-1252 | 2014-07-18 |
| 1801101993 | Penobscot Nation Health Department | Clinic/Center | 23 Wabanaki Way, Indian Island, ME 04468-1252 | 2010-08-12 |
| 1013187061 | Paul Dean Flagg | Pharmacist | 23 Wabanaki Way, Indian Island, ME 04468-1252 | 2008-03-06 |
| 1922206408 | Nadine Villani | Nurse Practitioner | 23 Wabanaki Way, Indian Island, ME 04468-1252 | 2007-07-06 |
| 1467658112 | Benjamin Walter Huerth | Family Medicine | 23 Wabanaki Way, Indian Island, ME 04468-1252 | 2007-06-21 |
| 1568673267 | Merla Roy | Technician, Pathology | 23 Wabanaki Way, Indian Island, ME 04468 | 2007-05-24 |
| 1225153851 | Margo Downing | Registered Nurse | 23 Wabanaki Way, Indian Island, ME 04468 | 2007-03-20 |
| 1033277678 | Tanya M Miller | Registered Nurse | 23 Wabanaki Way, Indian Island, ME 04468-1252 | 2006-12-05 |
| 1457427841 | Timothy R. Lentz | Nurse Practitioner | 23 Wabanaki Way, Indian Island, ME 04468-1252 | 2006-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770730012 | Karen Laflamme Davis | Speech-Language Pathologist | 270-a Main St, Old Town, ME 04468 | 2008-08-19 |
| 1104028281 | Susan C Hoovler | Licensed Practical Nurse | 242 Brunswick St., Penobscot Community Health Center, Old Town, ME 04468 | 2007-06-01 |
| 1326251000 | City of Old Town | Local Education Agency (LEA) | 156 Oak St., Old Town, ME 04468 | 2007-05-08 |
| 1891832382 | Nancy J. Mitchell Home Trust | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1 Sandy Beach Lane, Indian Island, ME 04468 | 2007-01-31 |
| 1639274913 | Dianne E Kallen | Family Medicine | 252 Brunswick St, Old Town, ME 04468 | 2006-09-13 |
| 1023510898 | Riversedge Chiropractic Wellness Center LLC | Clinic/Center | 227 Main St, Old Town, ME 04468 | 2018-03-07 |
| 1275906893 | Penobscot Community Health Center | Podiatrist | 242 Brunswick St, Old Town, ME 04468 | 2015-11-04 |
| 1740670421 | Kimberly Ann Yartklang | Nurse Practitioner | 242 Brunswick St, Old Town, ME 04468 | 2015-02-02 |
| 1134350077 | Kaliope C. Parousis | Pediatrics | 242 Brunswick Street, Old Town, ME 04468 | 2009-07-27 |
| 1720216245 | Christopher L. Johnston | Family Medicine | 242 Brunswick St, Old Town, ME 04468 | 2009-06-23 |
| Find all providers in zip 04468 | ||||
| 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 |
|---|---|---|---|---|
| 1407928831 | Donna L Harris | Dental Hygienist | 23 Wabanaki Way, Indian Island, ME 04468-1252 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939025 | Raghda A. Salman | Dental Hygienist | 1036 Brighton Ave # Unitea, Portland, ME 04102-1059 | 2020-07-07 |
| 1184250599 | Britta Noel Griffiths | Dental Hygienist | 1881 Route 109, Acton, ME 04001 | 2020-03-17 |
| 1013475060 | Shannon Rachel Faxon | Dental Hygienist | 120 Mount Hunger Shore Rd, Windham, ME 04062-5636 | 2019-03-08 |
| 1902376031 | Susan Marie Perron | Dental Hygienist | 33 Island View Ln, Brunswick, ME 04011-3550 | 2018-12-02 |
| 1043794993 | Jolene Pierce | Dental Hygienist | 1 Cumberland Pl Ste 116, Bangor, ME 04401-5087 | 2018-09-17 |
| 1306337290 | Maine Dental Boutique, LLC | Dental Hygienist | 16 Commerce Plz Ste 1a, Winthrop, ME 04364-1562 | 2018-05-25 |
| 1033627633 | Joleen Lee | Dental Hygienist | 201 Texas Ave, Bangor, ME 04401-4324 | 2018-01-17 |
| 1811408446 | Kimberly Morgan Fichthorn | Dental Hygienist | 168 Main St Ste C, Winthrop, ME 04364 | 2017-10-23 |
| 1942728332 | Mackenzie Erin Chancellor | Dental Hygienist | 186 Lowelltown Rd, Wiscasset, ME 04578 | 2017-09-06 |
| 1437677101 | Michelle Colleen Carlson | Dental Hygienist | 2402 Route 2 Ste E, Hermon, ME 04401-0666 | 2017-09-01 |
| Find all providers with the same taxonomy | ||||
| City | INDIAN ISLAND |
| Zip Code | 04468 |
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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.