GABRIELLE CLARK (NPI# 1790253383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790253383 |
| Entity Type | Individual |
| Full Name | GABRIELLE CLARK |
| Practice Address |
1156 Cook St. Dannemora NY 12929 |
| Mailing Address |
1201 Superior St Watertown NY 13601-1178 |
| Practice Telephone | 5184922511 |
| Mailing Telephone | 3154080413 |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2018-11-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 029980 | NY | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1201 Superior St, Watertown, NY 136011178 | 3154080413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255884698 | Gabrielle Clark | Technician, Other | 3557 Greenfield Rd, Dearborn, MI 48120-1217 | 2016-08-02 |
| 1134576754 | Gabrielle Sharon Clark | Podiatrist | 10555 Lake Forest Blvd Ste 3a-b, New Orleans, LA 70127-5206 | 2016-05-24 |
| 1770068108 | Gabrielle Clark | Registered Nurse | 11720 Partridge Rd, Holland, NY 14080-9800 | 2018-10-02 |
| 1407370711 | Gabrielle Alexandra Clark | Developmental Therapist | 33 Turnpike Road, Southborough, MA 01772 | 2017-07-28 |
| 1134442551 | Gabrielle Ann Clark | Speech-Language Pathologist | 6601 Phoenix Ave, Suite B, Fort Smith, AR 72903-5092 | 2010-03-12 |
| Street Address |
1156 COOK ST. |
| City | DANNEMORA |
| State | NY |
| Zip Code | 12929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427608280 | Amie Lynn Eggleston | Pharmacy | 1165 Rte 374, Dannemora, NY 12929 | 2019-09-13 |
| 1376908640 | Vonda Johnson | Family Medicine | 1156 Cook Street, Clinton Correctional Facility, Dannemora, NY 12929 | 2015-12-30 |
| 1053713883 | State of New York | Pharmacy | Cook St, Dannemora, NY 12929 | 2014-09-24 |
| 1629319744 | Jeannette G. Bingel | Specialist | 1189 Rt. 374 Cook St., Dannemora, NY 12929 | 2013-03-14 |
| 1265508253 | Village of Dannemora | Ambulance | 121 Emmons St., Dannemora, NY 12929 | 2006-11-28 |
| 1629089271 | Maggy Pharmacy Inc | Pharmacy | 1165 Rt 374, Dannemora, NY 12929 | 2006-08-10 |
| 1164746541 | Michael L Maggy | Pharmacist | 1165 Route 374, Dannemora, NY 12929-0369 | 2010-03-15 |
| 1407170871 | Leo E Maggy | Pharmacist | 1165 Route 374, Dannemora, NY 12929-0369 | 2010-03-15 |
| 1013075910 | Mark Kennedy Maggy | Pharmacist | 1165 Rt 374, Dannemora, NY 12929-0369 | 2006-12-04 |
| 1821543406 | Susan V. Devlin-varin | Nurse Practitioner | 1156 State Route 374, Dannemora, NY 12929-2002 | 2016-08-24 |
| Find all providers in zip 12929 | ||||
| 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 |
|---|---|---|---|---|
| 1538767280 | Saray A Guzman-pernett | Dental Hygienist | 370 Lexington Ave Fl 26, New York, NY 10017-6573 | 2020-10-14 |
| 1508464389 | Teah Lee Griffith | Dental Hygienist | 1182 County Route 24, Gouverneur, NY 13642-3330 | 2020-10-13 |
| 1629675574 | Sheila M Marsh | Dental Hygienist | 37 Boynton Ave Ste 2, Plattsburgh, NY 12901-1268 | 2020-10-05 |
| 1558978478 | Natalia Itxel Plaza | Dental Hygienist | 223 22nd St Fl 1, Brooklyn, NY 11232-1303 | 2020-09-24 |
| 1386250108 | Maxine Mills | Dental Hygienist | 71 Maler Ln, Patchogue, NY 11772-3558 | 2020-09-17 |
| 1780295592 | Samantha Leggiadro | Dental Hygienist | 606 Hosta Cir, Webster, NY 14580-4066 | 2020-08-14 |
| 1609487438 | Taylor Emily Bonno | Dental Hygienist | 15324 Lovers Ln, Clayton, NY 13624-3110 | 2020-08-14 |
| 1407466071 | Ellen Norma Denise Gill | Dental Hygienist | 41277 County Route 15, Theresa, NY 13691-2028 | 2020-08-07 |
| 1619595709 | Marialys Fernandez | Dental Hygienist | 25 W 18th St Fl 4, New York, NY 10011-4676 | 2020-07-06 |
| 1285271775 | Elizabeth Marie Dooher-anthony | Dental Hygienist | 490 Falstaff Rd, Rochester, NY 14609-5551 | 2019-12-04 |
| Find all providers with the same taxonomy | ||||
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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.