JILL BLACK (NPI# 1851696413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851696413 |
| Entity Type | Individual |
| Full Name | JILL BLACK |
| Practice Address |
G3375 S Saginaw St Burton MI 48529-1277 |
| Mailing Address |
225 E 5th St Suite 300 Flint MI 48502-1641 |
| Practice Telephone | 8107436830 |
| Practice Fax Number | 8107437102 |
| Mailing Telephone | 8104064912 |
| Mailing Fax Number | 8104246029 |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2011-01-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 2902014907 | MI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063757268 | Jill Michele Black | Marriage & Family Therapist | 30101 Agoura Ct, Lobby 3 Suite 150, Agoura Hills, CA 91301-5806 | 2012-11-29 |
| 1184818601 | Jill Diane Black | Physical Therapist | 701 Savannah Rd, A-1, Lewes, DE 19958-1550 | 2007-08-28 |
| Street Address |
G3375 S SAGINAW ST |
| City | BURTON |
| State | MI |
| Zip Code | 48529-1277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598754616 | Louinda V Zahdeh | Family Medicine | G3375 S Saginaw St, Burton, MI 48529-1277 | 2005-10-20 |
| 1205329208 | Michelle Marie Perrien | Dental Hygienist | G3375 S Saginaw St, Burton, MI 48529-1277 | 2018-06-13 |
| 1700327186 | Kathleen Hilton | Nurse Practitioner | G3375 S Saginaw St, Burton, MI 48529-1277 | 2017-03-17 |
| 1780014373 | Shaheen Sheikh | Family Medicine | G3375 S Saginaw St, Burton, MI 48529-1277 | 2013-11-18 |
| 1992147888 | Jennifer E. Ervin | Nurse Practitioner | G3375 S Saginaw St, Burton, MI 48529-1277 | 2013-07-22 |
| 1669818183 | Abusufian Eltaib Eltahir | Pharmacist | G3375 S Saginaw St, Burton, MI 48529-1277 | 2013-05-13 |
| 1760742019 | Hamilton Community Health Network Inc | Pharmacy | G3375 S Saginaw St, Burton, MI 48529-1277 | 2012-05-21 |
| 1578770962 | Susan Elizabeth Carsten | Social Worker | G3375 S Saginaw St, Burton, MI 48529-1277 | 2007-05-17 |
| 1720152275 | Hamilton Community Health Network Inc. | Clinic/Center | G3375 S Saginaw St, Burton, MI 48529-1244 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245874551 | Tonya Mary Lott | Nurse Practitioner | 3375 S. Saginaw St, Burton, MI 48529 | 2019-10-30 |
| 1093241028 | Christie Bigelow | Behavior Technician | 4476 South Dort Hwy, Burton, MI 48529 | 2017-05-11 |
| 1164961033 | Strive Center for Autism LLC | Behavioral Analyst | 4476 S Dort Hwy, Burton, MI 48529 | 2017-02-13 |
| 1013382357 | Joy Sandy | Nurse Practitioner | 3525 Saginaw Road, Burton, MI 48529 | 2015-12-12 |
| 1407253206 | Caring Hands Home Health Services | Home Health | G-3163 Flushing Road, 208, Flint, MI 48529 | 2014-11-24 |
| 1427489293 | Shauna Renee Miller | Physician Assistant | G-3375 S Saginaw St, Burton, MI 48529 | 2013-12-04 |
| 1801234521 | Amy Lyn Gomez | Registered Nurse | 1336 Allen St, Burton, MI 48529 | 2013-06-05 |
| 1285962720 | Burton Pharmacy Inc | Pharmacy | 3375 S Saginaw St, Burton, MI 48529 | 2009-11-20 |
| 1912128919 | Juliette Marie Perzhinsky | Internal Medicine | 3525 Saginaw Rd., Burton, MI 48529 | 2007-05-01 |
| 1639153075 | Loretta Catherine Nimmo | Nurse Practitioner | 3373 S. Saginaw St, Burton, MI 48529 | 2005-11-30 |
| Find all providers in zip 48529 | ||||
| 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 |
|---|---|---|---|---|
| 1205329208 | Michelle Marie Perrien | Dental Hygienist | G3375 S Saginaw St, Burton, MI 48529-1277 | 2018-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366042830 | Denisha Henry | Dental Hygienist | 28009 Berkshire Dr, Southfield, MI 48076-2449 | 2020-10-26 |
| 1477173367 | Susan B Leclair | Dental Hygienist | 6824 Brightwood Ct, Waterford, MI 48327-1100 | 2020-04-20 |
| 1053944686 | Elaine Christina Check | Dental Hygienist | 3510 Roosevelt Rd, Jackson, MI 49203-5263 | 2020-02-21 |
| 1720619257 | Angela Marie Compton | Dental Hygienist | 2668 Applewine, Middleville, MI 49333-8052 | 2020-02-03 |
| 1336789205 | Alaa Samir Solagh | Dental Hygienist | 7311 Appoline St, Dearborn, MI 48126-1570 | 2020-01-08 |
| 1952941825 | Ericka Melissa Smith | Dental Hygienist | 14577 Rosemont Ave, Detroit, MI 48223-2338 | 2020-01-08 |
| 1083254957 | Zahraa Solagh | Dental Hygienist | 6268 Whitefield St, Dearborn Heights, MI 48127-3013 | 2020-01-08 |
| 1811536261 | Melissa Ann Mccurtis | Dental Hygienist | 20700 Lockwood St, Taylor, MI 48180-2977 | 2020-01-02 |
| 1609415595 | Amanda Kilpatrick | Dental Hygienist | 11714 Belle River Rd, Riley, MI 48041-4322 | 2019-12-25 |
| 1366089732 | Vian Aljony | Dental Hygienist | 27273 Arden Park Cir, Farmington Hills, MI 48334 | 2019-12-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JILL BLACK.
| 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.