JEAN RUSSELL (NPI# 1801037544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801037544 |
| Entity Type | Individual |
| Full Name | JEAN RUSSELL |
| Other Name | JEAN RUSSELL |
| Practice Address |
250 Mount Vernon St Dorchester MA 02125-3120 |
| Mailing Address |
50 Redfield St Suite 302 Dorchester MA 02122-3630 |
| Practice Telephone | 6172881140 |
| Mailing Telephone | 6175065160 |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2009-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 4105 | MA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700903598 | Jean Alice Russell | Social Worker | 7 Fountain Ave, Barrington, RI 02806-1403 | 2007-03-25 |
| 1932594041 | Jean Russell | Dentist | 7707 N University Dr, 201, Tamarac, FL 33321-2950 | 2015-04-06 |
| 1124462635 | Jean Louise Russell | Pediatrics | 7720 N Fresno St Ste 104, Fresno, CA 93720-2407 | 2013-04-26 |
| 1225140320 | Jean Russell | Nurse Anesthetist, Certified Registered | 919 E Central Ave, Scott County Hospital, La Follette, TN 37766-2777 | 2006-08-31 |
| Street Address |
250 MOUNT VERNON ST |
| City | DORCHESTER |
| State | MA |
| Zip Code | 02125-3120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225013071 | Anthony Schlaff | Internal Medicine | 250 Mount Vernon St, Dorchester, MA 02125-3120 | 2005-12-14 |
| 1265068530 | Anne Isabelle Rao | Dentist | 250 Mount Vernon St, Dorchester, MA 02125-3120 | 2020-03-19 |
| 1124664107 | Annmary Quilty | Registered Nurse | 250 Mount Vernon St, Dorchester, MA 02125-3120 | 2019-11-25 |
| 1659923050 | Sophie Robert | Student in an Organized Health Care Education/Training Program | 250 Mount Vernon St, Dorchester, MA 02125-3120 | 2019-07-15 |
| 1891283339 | Jing Wang | Student in an Organized Health Care Education/Training Program | 250 Mount Vernon St, Dorchester, MA 02125-3120 | 2018-04-30 |
| 1508366725 | Ranko Lisul | Dentist | 250 Mount Vernon St, Dorchester, MA 02125-3120 | 2018-02-14 |
| 1609317643 | Lihsih Tang | Dentist | 250 Mount Vernon St, Dorchester, MA 02125-3120 | 2017-03-09 |
| 1750703351 | Michelle Marie Brady | Clinic/Center | 250 Mount Vernon St, Dorchester, MA 02125-3120 | 2014-01-16 |
| 1427470046 | Fay Giarratani | Registered Nurse | 250 Mount Vernon St, Dorchester, MA 02125-3120 | 2014-01-16 |
| 1437571411 | Nicholas George Bello | Dentist | 250 Mount Vernon St, Dorchester, MA 02125-3120 | 2014-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922520840 | Aj Guerrero | Counselor | 6 Glen St. #3, Boston, MA 02125 | 2017-07-12 |
| 1982059218 | Ana Fernandez | Psychologist | University of Massachusetts, Boston, 100 William T. Morrissey Blvd, Boston, MA 02125 | 2016-04-23 |
| 1558725184 | Algecira Garcia-ortiz | Massage Therapist | 12 Judson St, Dorchester, MASSACHUSETTS 02125 | 2016-04-10 |
| 1508251414 | Sing Hong Ty | Registered Nurse | 415 Colombia Rd, Dorchester, MA 02125 | 2015-03-30 |
| 1972806750 | Joanne Pomales | Counselor | 18 Harbor Crest Court 102, Dorchester, MA 02125 | 2010-12-16 |
| 1386969335 | Kara Jillian Sheridan | Counselor | 58 Dorset St, Boston, MA 02125 | 2010-04-02 |
| 1750533956 | Wendy M. Jern | Physical Therapist | 21riley Rd #2, Hyde Park, MA 02125 | 2008-10-21 |
| 1174729743 | Payton Brandyberry | Counselor | 500 Columbia Rd, Mail Stop 415-05, Upham's Corner Health Center, Dorchester, MA 02125 | 2007-06-21 |
| 1699817247 | Dong Lan Corporation | Pharmacist | 1167 A Dorchester Ave, Dorchester, MA 02125 | 2007-02-12 |
| 1457490153 | Sarah L Merin | Social Worker | Upham's Corner Health Center, 500 Columbia Rd, Mailstop 415-05, Dorchester, MA 02125 | 2007-02-06 |
| Find all providers in zip 02125 | ||||
| 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 |
|---|---|---|---|---|
| 1427206937 | Dana Raphael Jones | Dental Hygienist | 687 Washington St, Dorchester, MA 02124 | 2008-09-09 |
| 1760095012 | Faith Brooks | Dental Hygienist | 172 Ashmont St, Dorchester, MA 02124-3745 | 2020-08-26 |
| 1932622685 | Siobhan Brooks | Dental Hygienist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2017-07-24 |
| 1700322518 | Rahmo Said | Dental Hygienist | 632 Blue Hill Ave, Dorchester, MA 02121-3213 | 2017-01-17 |
| 1386996528 | Payal Patel | Dental Hygienist | 637 Washington St, Dorchester, MA 02124-3510 | 2012-10-12 |
| 1770860884 | Janet Rong | Dental Hygienist | 637 Washington St, Dorchester, MA 02124-3510 | 2011-11-03 |
| 1144558024 | Kathleen Nastasia | Dental Hygienist | 50 Redfield St, Suite 302, Dorchester, MA 02122-3630 | 2009-12-03 |
| 1942538822 | Tara Drake | Dental Hygienist | 50 Redfield St, Suite 302, Dorchester, MA 02122-3630 | 2009-12-03 |
| 1669700548 | Mary Levasseur | Dental Hygienist | 50 Redfield St, Suite 302, Dorchester, MA 02122-3630 | 2009-12-03 |
| 1144463332 | Carol Lucas | Dental Hygienist | 50 Redfield St, Suite 302, Dorchester, MA 02122-3630 | 2009-04-17 |
| Find all providers in DORCHESTER | ||||
| City | DORCHESTER |
| Zip Code | 02125 |
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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.