MRS. DEBRA LYN GOTHARD (NPI# 1912315946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912315946 |
| Entity Type | Individual |
| Full Name | MRS. DEBRA LYN GOTHARD |
| Credential | RDH |
| Practice Address |
1 Wyoming St Dayton OH 45409-2722 |
| Mailing Address |
1 Wyoming Street Dayton OH 45419 |
| Practice Telephone | 9372085024 |
| Practice Fax Number | 9372088314 |
| Mailing Telephone | 9372085024 |
| Mailing Fax Number | 9372088314 |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2014-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 31.005909 | OH | Dental Providers |
| Street Address |
1 WYOMING ST |
| City | DAYTON |
| State | OH |
| Zip Code | 45409-2722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235134180 | Christopher Scott Croom | Obstetrics & Gynecology | 1 Wyoming St, Berry Bldg, Ground Fl, Dayton, OH 45409-2722 | 2005-06-16 |
| 1902412133 | Dustin Logan Warne | Registered Nurse | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-09-22 |
| 1356956965 | Yeri Noh | Pharmacist | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-09-10 |
| 1457965642 | Amanda Danielle Boykin | Nurse Practitioner | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-09-03 |
| 1386257046 | Daryl Brown | Physician Assistant | 1 Wyoming St, Dayton, OH 45409-2711 | 2020-08-24 |
| 1518578624 | Mary Goeller | Physician Assistant | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-08-12 |
| 1033720545 | Emily Newport | Pharmacist | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-08-10 |
| 1447869433 | David Mark Peters Jr. | Pharmacist | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-07-27 |
| 1376151787 | Zachary Sahadak | Pharmacist | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-07-22 |
| 1093323339 | Mckenzie Shenk | Pharmacist | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487276457 | Matthew R Schaeffer | Surgery | 128 E Apple St., Wche 7th Floor, Dayton, OH 45409 | 2020-05-13 |
| 1699237545 | Elizabeth Joan Hudson | Student in an Organized Health Care Education/Training Program | 1 Wyoming Street Miami Valley Hospital Medical Educatio, Dayton, OH 45409 | 2019-04-01 |
| 1760941066 | Courtney Lyn Johnson | Surgery | 128 East Apple Street, Wche 7th Floor, Dayton, OH 45409 | 2019-03-16 |
| 1477057529 | Adam Joseph Langer | Student in an Organized Health Care Education/Training Program | 128 E. Apple St Suite 3800, Wright State University Dept of Ob/gyn, Dayton, OH 45409 | 2018-03-22 |
| 1659870939 | Timothy Wall | Student in an Organized Health Care Education/Training Program | 128 East Apple St., 2nd Floor, Dayton, OH 45409 | 2018-02-01 |
| 1124551411 | Adam Schmerge Deardorff | Student in an Organized Health Care Education/Training Program | 30 E Apple St Ste 6257, Dayton, OH 45409 | 2017-04-04 |
| 1205205358 | Kelby Snorf | Physician Assistant | 30 E Apple Street, Suite 3300, Dayton, OH 45409 | 2015-09-18 |
| 1689054223 | Jessica Ezinne Ugwu | Family Medicine | 30 E Apple St., Suite Nw 3300, Dayton, OH 45409 | 2015-06-08 |
| 1679983084 | Jude Anneryan Cohen | Registered Nurse | 1200 W. Dorothy Lane, Southdale Elementary School, Kettering, OH 45409 | 2014-05-07 |
| 1730517087 | Jesse Wayne Clark | Counselor | 65 Grady Ct, Dayton, OH 45409 | 2013-10-24 |
| Find all providers in zip 45409 | ||||
| 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 |
|---|---|---|---|---|
| 1417469206 | Kristin Larae Drinnon | Dental Hygienist | 1488 Riverpark Pkwy, Dayton, NV 89403-6332 | 2017-11-01 |
| 1538595996 | Christine Marie Smits | Dental Hygienist | 15450 Ne Mcdougall Rd, Dayton, OR 97114-7043 | 2013-09-17 |
| 1700124534 | Kristie Spitzer | Dental Hygienist | 6813 Boston Pl, Dayton, OH 45415-1501 | 2013-01-29 |
| 1417096983 | Tanya Marie Steele | Dental Hygienist | 1427 River Park Pkwy, Dayton, NV 89403-6333 | 2007-02-05 |
| 1396101333 | Dayton Dental Associates, LLC | Dental Hygienist | 338 Georges Rd, Dayton, NJ 08810-1546 | 2016-01-06 |
| 1942540661 | Christine Lynn Mccall | Dental Hygienist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2013-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093320640 | Kimberly Ann Lunsford | Dental Hygienist | 1417 S Beechgrove Rd, Wilmington, OH 45177-9118 | 2020-09-10 |
| 1669984860 | Sheri Jean Bishop | Dental Hygienist | 750 E Long St, Columbus, OH 43203-1846 | 2017-10-27 |
| 1154849487 | Anne Daoust-garcia | Dental Hygienist | 635 N Erie St Rm 272, Toledo, OH 43604-5317 | 2017-09-07 |
| 1760849566 | Deborah Miller | Dental Hygienist | 258 E Market St Ste 327, Warren, OH 44481-1203 | 2016-01-25 |
| 1699132084 | Allison Neal | Dental Hygienist | 5999 State St, Albany, OH 45710-9285 | 2016-01-15 |
| 1073998944 | Rise A. Gibson | Dental Hygienist | 342 Muskingum Drive, Marietta, OH 45750 | 2015-07-21 |
| 1346638343 | Amy Beth Diddle | Dental Hygienist | 47445 Morning Star Rd, Racine, OH 45771-8808 | 2014-12-30 |
| 1821492810 | Deirdre Bielecki | Dental Hygienist | 418 Main Avenue Sw, Warren, OH 44481 | 2014-10-20 |
| 1366845190 | Rhonda Mahan | Dental Hygienist | 635 W 7th St Ste 405, Cincinnati, OH 45203-1549 | 2014-10-07 |
| 1548663040 | Janice Large | Dental Hygienist | 675 Price Rd, Newark, OH 43055-9506 | 2014-09-29 |
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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.