ANTOINETTE ALICIA GORDON


Address: 109 Grand Ave, Brooklyn, NY 11205-2567
Phone: 7186229223

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist 023891-1 NY Dental Providers

Office Location

Street Address 109 GRAND AVE
City BROOKLYN
State NY
Zip Code 11205-2567

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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.

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Competitor

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City BROOKLYN
Zip Code 11205

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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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