ANTOINETTE ALICIA GORDON (NPI# 1710129135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710129135 |
Entity Type | Individual |
Full Name | ANTOINETTE ALICIA GORDON |
Credential | RDH |
Practice Address |
109 Grand Ave Brooklyn NY 11205-2567 |
Practice Telephone | 7186229223 |
Mailing Telephone | 7186229223 |
Enumeration Date | 2009-03-31 |
Last Update Date | 2009-03-31 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | 023891-1 | NY | Dental Providers |
Street Address |
109 GRAND AVE |
City | BROOKLYN |
State | NY |
Zip Code | 11205-2567 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922517176 | Hind Ibrahim | Speech-Language Pathologist | 195 Sanford Street, Brooklyn, NY 11205 | 2017-09-20 |
1710402573 | Pierrette Augustin | Registered Nurse | 84 Carlton Ave, Apt. 5a, Brooklyn, NY 11205 | 2017-08-13 |
1104368422 | Damali Robinson | Speech-Language Pathologist | 195 Willoughby Avenue, Apartment 609, Brooklyn, NY 11205 | 2016-11-17 |
1316304413 | Kyung Han | Case Manager/Care Coordinator | 950 Kent Avenue, 3f, Brooklyn, NY 11205 | 2016-01-20 |
1285039081 | Shani Jordan-goldman | Dietitian, Registered | 80 Vanderbilt Ave, Brooklyn, NY 11205 | 2014-10-23 |
1205274719 | Kaitlyn M Rindos | Speech-Language Pathologist | 805 Kent Avenue, Suite 101, Brooklyn, NY 11205 | 2013-06-06 |
1386985323 | Rose Marie Demosthene | Registered Nurse | Cumberland D&tc, 100 North Portland Avenue, Brooklyn, NY 11205 | 2013-03-14 |
1780940627 | Michele Goldman | Registered Nurse | 195 Sandford Street, Brooklyn, NY 11205 | 2012-04-04 |
1629202312 | Safeway Medical Supplies | Durable Medical Equipment & Medical Supplies | 196 Clinton Ave, Suite C25, Brooklyn, NY 11205 | 2009-05-08 |
1811136286 | Susan Jarrell | Acupuncturist | 208 Washington Park Apt 1b, Brooklyn, NY 11205 | 2009-02-09 |
Find all providers in zip 11205 |
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 |
---|---|---|---|---|
1558978478 | Natalia Itxel Plaza | Dental Hygienist | 223 22nd St Fl 1, Brooklyn, NY 11232-1303 | 2020-09-24 |
1700437381 | Gabriella Scaglione | Dental Hygienist | 5800 2nd Ave, Brooklyn, NY 11220 | 2019-09-24 |
1831759471 | Lobna Awad | Dental Hygienist | 8300 4th Ave Apt 508, Brooklyn, NY 11209-4463 | 2019-06-17 |
1023484532 | Nadia Boytsova | Dental Hygienist | 2300 W 7th Street, Brooklyn, NY 11223 | 2015-08-19 |
1730506924 | Andrea Hickson-moore | Dental Hygienist | 361 Maple St, 9b, Brooklyn, NY 11225-5134 | 2014-03-25 |
1215276019 | Clj Home Care LLC | Dental Hygienist | 985 Park Pl., 4c, Brooklyn, NY 11213 | 2013-02-14 |
1902015761 | Sandra Phillips | Dental Hygienist | 686 Lexington Ave, Brooklyn, NY 11221-2205 | 2007-05-21 |
1649890443 | Banny Chen | Dental Hygienist | 837 58th St Fl 6, Brooklyn, NY 11220-3662 | 2020-04-21 |
1346874757 | Lainey Lau | Dental Hygienist | 150 55th St, Brooklyn, NY 11220-2508 | 2020-02-24 |
1306407408 | Imani Golden | Dental Hygienist | 650 Ashford St, Brooklyn, NY 11207-7315 | 2019-06-28 |
Find all providers in BROOKLYN |
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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.