MS. JENNIFER ROSE FASOLINO (NPI# 1942650635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942650635 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER ROSE FASOLINO |
| Credential | EFDA |
| Practice Address |
652 Hamilton Rd. Ft. Sill OK 73503 |
| Mailing Address |
652 Hamilton Rd. Fort Sill OK 73503 |
| Practice Telephone | 5804423905 |
| Mailing Telephone | 5804423905 |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2016-06-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | Dental Providers |
| Street Address |
652 HAMILTON RD. |
| City | FT. SILL |
| State | OK |
| Zip Code | 73503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598140691 | Matthew Massey | Dentist | 652 Hamilton Rd., Usa Dental Activity, Ft. Sill, OK 73503 | 2015-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942824446 | Alex Boyd | Dentist | U.S.A. Dental Health Activity, 652 Hamilton Road, Fort Sill, OK 73503 | 2020-06-01 |
| 1588145031 | Dustin Davis | Dentist | Usa Dental Health Activity 652 Hamilton Rd., Fort Sill, OK 73503 | 2018-08-23 |
| 1578086492 | Austin Kent Brown | Dentist | Usa Dental Activity 652 Hamilton Rd., Fort Sill, OK 73503 | 2017-07-23 |
| 1083155998 | Michael Gagliano | Physician Assistant | 4301 Wilson Street, Attn: Mcua-qm Credentials, Reynolds Army Health Clinic, Fort Sill, OK 73503 | 2017-03-10 |
| 1619428885 | Kristi Ann Putnam | Registered Nurse | Sgt Bleak Troop Medical Clinic, 6039 Berry Street, Fort Sill, OK 73503 | 2016-10-21 |
| 1003265901 | Lucy Muller | Registered Nurse | 4301 Wilson Road, Ft Sill, OK 73503 | 2016-06-10 |
| 1356740146 | Gregory B Kiene | Dentist | 642 Hamilton Rd, Usa Dental Activity, Fort Sill, OK 73503 | 2014-08-18 |
| 1295152262 | Cheryl Marie Wildman | Dental Assistant | 2640 Miner Road, Weeks Dental Clinic, Ft Sill, OK 73503 | 2014-03-27 |
| 1245664143 | Tina L Gray | Dentist | 652 Hamilton Road, Suite 210, Fort Sill Dentac, Fort Sill, OK 73503 | 2013-08-27 |
| 1720410533 | Katherine Loi | Dentist | 652 Hamilton Rd, Fort Sill Dentac, Suite 210, Fort Sill, OK 73503 | 2013-08-02 |
| Find all providers in zip 73503 | ||||
| Taxonomy Code | 126800000X |
| Grouping | Dental Providers |
| Classification | Dental Assistant |
| An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295152262 | Cheryl Marie Wildman | Dental Assistant | 2640 Miner Road, Weeks Dental Clinic, Ft Sill, OK 73503 | 2014-03-27 |
| 1962410795 | Carol Fay Mortiere | Dental Assistant | 7205 Sw Drakestone Blvd, Lawton, OK 73505-7467 | 2006-08-04 |
| 1194271973 | David Swann | Dental Assistant | 652 Hamilton Road, Fort Sill, OK 73503 | 2016-08-31 |
| 1750732509 | Brandon Rippy | Dental Assistant | 652 Hamilton Rd, Fort Sill, OK 73503 | 2016-06-23 |
| 1144671926 | Roxanna Lynn Cohn | Dental Assistant | 652 Hamilton Road, Fort Sill, OK 73503 | 2016-06-23 |
| 1407206493 | Melissa Marshall | Dental Assistant | 652 Hamilton Rd, Usa Dental Activity, Fort Sill, OK 73503 | 2016-06-21 |
| 1316397300 | Michelle Mcdermott | Dental Assistant | 652 Hamilton Rd., Usa Dental Activity, Fort Sill, OK 73503 | 2016-06-21 |
| 1316397599 | Dianne Holly Ambrosek | Dental Assistant | 652 Hamilton Road, Fort Sill, OK 73503 | 2016-06-17 |
| 1023487485 | Yvette Saldana Vasquez | Dental Assistant | 4913 W Reno Ave, Oklahoma City, OK 73127-6339 | 2015-09-16 |
| 1851760227 | Christina Diana Cook | Dental Assistant | 4913 W Reno Ave, Oklahoma City, OK 73127-6339 | 2015-09-16 |
| Find all providers with the same taxonomy | ||||
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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.