JACLYN SMITH (NPI# 1942567722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942567722 |
| Entity Type | Individual |
| Full Name | JACLYN SMITH |
| Practice Address |
19173 Santa Barbara Dr Detroit MI 48221-1624 |
| Practice Telephone | 3135056665 |
| Mailing Telephone | 3135056665 |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2012-04-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 2902016147 | MI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376904060 | Jaclyn Smith | Physical Therapist | 214 Argus Rd, Saint Augustine, FL 32086 | 2016-03-09 |
| 1225669658 | Jaclyn Leigh Smith | Registered Nurse | 200 E State St Fl 3, Alliance, OH 44601-4936 | 2020-02-04 |
| 1932679719 | Jaclyn Smith | Physical Therapy Assistant | 400 E Howry Ave, Deland, FL 32724-5400 | 2018-12-05 |
| 1881189488 | Jaclyn Jones Smith | Counselor | 305 S Highland Dr, Many, LA 71449 | 2018-06-26 |
| 1013419530 | Jaclyn Smith | Nurse Practitioner | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2018-02-28 |
| 1235669755 | Jaclyn Arielle Smith | Student in an Organized Health Care Education/Training Program | 1600 S Andrews Ave, Fort Lauderdale, FL 33316 | 2017-06-18 |
| 1255738134 | Jaclyn Smith | Counselor | 344 E 100 S, Ste 301, Salt Lake City, UT 84111-1700 | 2014-11-20 |
| 1700209681 | Jaclyn W Smith | Counselor | 5351 Samuell Blvd, Dallas, TX 75228-6720 | 2014-01-28 |
| 1306275631 | Jaclyn Smith | Dietitian, Registered | 9100 Babcock Blvd, Nutrition Services, Pittsburgh, PA 15237-5815 | 2013-11-07 |
| 1609203629 | Jaclyn Smith | Advanced Practice Midwife | 270 Old Hook Rd, Westwood, NJ 07675-3117 | 2013-10-04 |
| Street Address |
19173 SANTA BARBARA DR |
| City | DETROIT |
| State | MI |
| Zip Code | 48221-1624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457616500 | Tender Touch Dental Services | Dental Hygienist | 19173 Santa Barbara Dr, Detroit, MI 48221-1624 | 2012-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359285 | Sutherlond Homes | Home Infusion | 20499 Ilene, Detroit, MI 48221 | 2019-07-25 |
| 1447743216 | Prolific Care Home Health Svc | Home Health | 10141 W. Mcnichols St., Detroit, MI 48221 | 2018-06-07 |
| 1982103297 | Diamond A Lowe | Technician/Technologist | 16654 Monte Vista, Detroit, MI 48221 | 2018-02-02 |
| 1356871941 | Tamika Baines | Driver | 19939 Indiana, Detroit, MI 48221 | 2017-06-15 |
| 1821535667 | Tanisha Floyd | Behavior Technician | 18307 Mendota St., Detroit, MI 48221 | 2017-01-31 |
| 1225585250 | Maan Down LLC | Custodial Care Facility | 16885 Ilene St, Detroit, MI 48221 | 2016-09-07 |
| 1285013979 | Thiera Danyal Lane | Counselor | 11000 W Mcnichols Rd Ste 309, Detroit, MI 48221 | 2015-05-27 |
| 1679967038 | Remy Onimoe | Pharmacist | 16191 Livernois Avenue, Southfield, MI 48221 | 2015-03-24 |
| 1669863098 | Loving Hands Accessible Service L.L.C. | Driver | 16230 Mendota, Detroit, MI 48221 | 2015-02-06 |
| 1487916433 | Social Care Administrators LLC | Case Management | 11000 W. Mcnicholas, Ste 212, Detroit, MI 48221 | 2012-06-14 |
| Find all providers in zip 48221 | ||||
| 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 |
|---|---|---|---|---|
| 1952941825 | Ericka Melissa Smith | Dental Hygienist | 14577 Rosemont Ave, Detroit, MI 48223-2338 | 2020-01-08 |
| 1174041990 | Doris D Ogburn | Dental Hygienist | 4727 St Antoine Street, Suite 408, Detroit, MI 48201 | 2017-08-31 |
| 1902338635 | Armanda Hendricks | Dental Hygienist | 3646 Mt Elliott St, Detroit, MI 48207 | 2017-03-31 |
| 1760857387 | Cheryl Lynn Hewison | Dental Hygienist | 4727 St. Antoine St., Ste 408, Detroit, MI 48201 | 2015-12-08 |
| 1760876270 | Angela Bernard | Dental Hygienist | 14164 Abington Ave, Detroit, MI 48227-1304 | 2015-03-23 |
| 1932502077 | Keisha Denise Parks | Dental Hygienist | 5379 Crane St, Detroit, MI 48213-2918 | 2014-10-03 |
| 1053748889 | Dental Hygiene Visiting Services | Dental Hygienist | 38 Adelaide St, Detroit, MI 48201-3111 | 2013-10-12 |
| 1023399607 | Sabrina Latrice Basley | Dental Hygienist | 7633 E Jefferson Ave Ste 70, Detroit, MI 48214-3730 | 2011-09-08 |
| 1962704668 | Sheila Inez Upshaw-flowers | Dental Hygienist | 18616 W. Mcnichols, Your Family Dentist, Detroit, MI 48219 | 2010-12-01 |
| 1386955136 | Sweet Smiles Dental Solutions | Dental Hygienist | 19950 Manor St, Detroit, MI 48221-1040 | 2010-06-27 |
| Find all providers in DETROIT | ||||
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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.