KRISTY LYNN DEROSIA


Address: 1420 London Rd, Suite 206, Duluth, MN 55805-2433
Phone: 2184817474

KRISTY LYNN DEROSIA (NPI# 1851640478) 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) 1851640478
Entity Type Individual
Full Name KRISTY LYNN DEROSIA
Credential R.D.H
Practice Address 1420 London Rd
Suite 206
Duluth
MN 55805-2433
Practice Telephone 2184817474
Practice Fax Number 2187894150
Mailing Telephone 2184817474
Mailing Fax Number 2187894150
Enumeration Date 2012-08-29
Last Update Date 2015-06-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 124Q00000X Dental Hygienist 10916-016 WI Dental Providers
Y 124Q00000X Dental Hygienist H4727 MN Dental Providers

Office Location

Street Address 1420 LONDON RD
SUITE 206
City DULUTH
State MN
Zip Code 55805-2433

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033116942 Sara King Downs Audiologist 1420 London Rd, Suite 105, Duluth, MN 55805-2433 2005-07-07
1235467655 Eva Grant Trueblood-pearce Physical Therapist 1420 London Rd, Suite 102, Duluth, MN 55805-2433 2009-11-23
1942450143 Sara Beth Chmielewski Physical Therapist 1420 London Rd, Suite 102, Duluth, MN 55805-2433 2008-09-24
1821251455 Occupational and Manual Medicine of Duluth Preventive Medicine 1420 London Rd, Suite 102b, Duluth, MN 55805-2433 2008-07-03
1114110624 Lisa Marie Mcinally Physical Therapist 1420 London Rd, Suite 102, Duluth, MN 55805-2433 2007-08-20
1447456058 Kara Conry Dentist 1420 London Rd, Suite 206, Duluth, MN 55805-2433 2007-06-21
1740311067 Northern Arm & Hand Center, Inc. Durable Medical Equipment & Medical Supplies 1420 London Rd, Suite 102, Duluth, MN 55805-2433 2007-03-08
1477612604 Gillette Children's Specialty Healthcare Durable Medical Equipment & Medical Supplies 1420 London Rd, Duluth, MN 55805-2433 2006-12-06
1649376682 Janice Culliton Physical Therapist 1420 London Rd, Suite 102, Duluth, MN 55805-2433 2006-09-16
1205932258 Tonya Benzie Occupational Therapist 1420 London Rd, Suite 102, Duluth, MN 55805-2433 2006-09-16
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356852180 Peace of Mind of Duluth, Inc. Community/Behavioral Health 1000 East 1st Street, Suite 100, Duluth, MN 55805 2017-10-19
1891213419 Arielle Skalisky Registered Nurse 400 E. 3rd Street, Duluth, MN 55805 2017-09-04
1457886400 Chefrdn, LLC Dietitian, Registered 1101 East 4th Street, Duluth, MN 55805 2017-04-27
1962811604 Claire Elena Kap Nurse Practitioner Essentia Health Duluth Clnic, 400 East Third Street, Duluth, MN 55805 2014-08-06
1598196313 Kelsey Lindsay Putvin Audiologist 400 E 3rd St., Duluth, MN 55805 2013-12-04
1639462997 James F Conniff Family Medicine Duluth Family Medicine Clinic, 330 N Eighth Ave E, Duluth, MN 55805 2011-05-19
1215237433 Bobby Jo Mineheine Speech-Language Pathologist 530 East Second St, Polinsky Medical Rehab Ctr, Duluth, MN 55805 2010-10-22
1891004248 Robin Michelle Warfel Occupational Therapist 530 East 2nd Street, Polinsky Medical Rehabilitation Center, Duluth, MN 55805 2010-10-04
1154638716 Jennifer Chen Pharmacist 420 E 1st St Mail Drop 1s3w10, Duluth, MN 55805 2010-09-02
1376858084 Jennifer Lynn Howard Pharmacist 211 West Fourth Street, Center for American Indian Resources, Duluth, MN 55805 2010-08-18
Find all providers in zip 55805

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174152078 Ligita Lizuniene Dental Hygienist 3705 Old Norcross Rd Ste 300, Duluth, GA 30096-4336 2020-04-03
1790111250 Tammy Kaye Miskovich Dental Hygienist 3614 Minnesota Ave, Duluth, MN 55802-2541 2013-09-16
1295084945 Rikki Kolquist Dental Hygienist 730 W Skyline Pkwy, Duluth, MN 55806-2436 2012-09-07
1194002816 Anita Caines Dental Hygienist 8104 Vinland St, Duluth, MN 55810-1402 2011-11-09
1952688871 Megan Rock Dental Hygienist 2720 W 7th St, Duluth, MN 55806-1345 2011-11-06
1043819758 Alina D Simonca Dental Hygienist 3780 Old Norcross Rd Ste 303, Duluth, GA 30096-1742 2020-10-22
1457984783 Kellie Lynn Murphy Dental Hygienist 4325 Grand Ave, Duluth, MN 55807-2730 2020-02-14
1467813964 Lisa Ann Robertson Dental Hygienist 4325 Grand Ave, Duluth, MN 55807-2730 2016-03-10
1205223732 Jennifer Springer Dental Hygienist 4325 Grand Ave, Duluth, MN 55807-2730 2015-04-22
1093102725 Amy Marxhausen Dental Hygienist 4325 Grand Ave, Duluth, MN 55807-2730 2015-04-21
Find all providers in DULUTH

Competitor

Search similar providers

City DULUTH
Zip Code 55805

Improve Information

Please comment or provide details below to improve the information on KRISTY LYNN DEROSIA.

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.

Trending Searches