MRS. LISA ANN HARWELL (NPI# 1942759501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942759501 |
| Entity Type | Individual |
| Full Name | MRS. LISA ANN HARWELL |
| Practice Address |
Bldg 38801 Academic Dr Suite B & C Ft Gordon GA 30905-5660 |
| Mailing Address |
Bldg 38801 Academic Dr, Ste B&c Usa Dentac Ft Gordon GA 30905-5660 |
| Practice Telephone | 7067876927 |
| Practice Fax Number | 7067872082 |
| Mailing Telephone | 7067876927 |
| Mailing Fax Number | 7067872082 |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2016-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366807505 | Lisa Harwell | Counselor | 1301 Shiloh Rd Nw Ste 811, Kennesaw, GA 30144-7156 | 2015-12-15 |
| Street Address |
BLDG 38801 ACADEMIC DR SUITE B & C |
| City | FT GORDON |
| State | GA |
| Zip Code | 30905-5660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831175769 | Crystal Jo Smith | Dentist | Bldg 38801 Academic Dr, Suite B & C, Ft Gordon, GA 30905-5660 | 2005-12-22 |
| 1760038046 | Jimmy Nmn Chen | Dentist | Bldg 38801 Academic Dr, Suite B&c, Ft Gordon, GA 30905-5660 | 2019-08-13 |
| 1245719780 | Chang Woo Jung | Dentist | Bldg 38801 Academic Dr, Suite B&c, Ft Gordon, GA 30905-5645 | 2018-08-07 |
| 1851730923 | Daniel Bradley Bruin | Dentist | Bldg 38801 Academic Dr, Suite B&c, Ft Gordon, GA 30905-5660 | 2013-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417508995 | Priscilla Denise Brown | Prosthetic/Orthotic Supplier | 38200 3rd Ave, Fort Gordon, GA 30905 | 2019-09-25 |
| 1740754308 | Patricia Lynn Blevins | Nurse Practitioner | 300 E Hospital Dr, Augusta, GA 30905 | 2019-01-17 |
| 1861971335 | Isabella Anderson | Dentist | Usa Dental Activity, Hospital Dental Clinic, Bldg 38801 Academic, Ste B&c, Ft Gordon, GA 30905 | 2018-08-07 |
| 1972097426 | Cortney Wolfley | Student in an Organized Health Care Education/Training Program | Orthopaedics Ddeamc, 300 East Hospital Road, Fort Gordon, GA 30905 | 2018-06-19 |
| 1003337536 | David Jonathon Sabovich | Dentist | 38801 Academic Dr Ste B&cactivity, Suite B & C, Ft Gordon, GA 30905 | 2017-07-06 |
| 1437689411 | Marcos Aranda | Student in an Organized Health Care Education/Training Program | General Surgery, Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905 | 2017-06-13 |
| 1659809846 | Brian Kevin Burke | Student in an Organized Health Care Education/Training Program | 300 East Hosptial Road, Fort Gordon, GA 30905 | 2017-06-01 |
| 1902334469 | Jacqueline Renee Mulhall | Student in an Organized Health Care Education/Training Program | Ddeamc, 300 E Hospital Rd, General Surgery, Fort Gordon, GA 30905 | 2017-05-30 |
| 1750837456 | Amanda R Bailey | Internal Medicine | 300 E. Hospital Dr., Fort Gordon, GA 30905 | 2016-09-01 |
| 1689120016 | Thomas S Moffitt | Internal Medicine | Im, Dwight D Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905 | 2016-08-26 |
| Find all providers in zip 30905 | ||||
| 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 |
|---|---|---|---|---|
| 1447701800 | Christopher Shane Pritchard | Dental Assistant | Bldg 38801 Academic Dr, Suite B & C, Usa Dentac, Ft Gordon, GA 30905-5660 | 2016-10-20 |
| 1316496235 | Janice M Dunbar | Dental Assistant | Bldg 38801 Academic Dr, Suite B & C, Usa Dentac, Ft Gordon, GA 30905-5660 | 2016-10-04 |
| 1366991291 | Arelis Valentin-rodriguez | Dental Assistant | Bldg 38801 Academic Dr, Suite B & C, Usa Dentac, Ft Gordon, GA 30905-5660 | 2016-10-04 |
| 1699225524 | Delaine Tabor Johnson | Dental Assistant | Bldg 38801 Academic Dr, Suite B & C, Usa Dentac, Ft Gordon, GA 30905-5660 | 2016-10-04 |
| 1376092296 | Cynthia T Reed | Dental Assistant | Bldg 38801 Academic Dr, Suite B & C, Usa Dentac, Ft Gordon, GA 30905-5660 | 2016-10-04 |
| 1174073001 | Monika Rene Jernigan | Dental Assistant | Bldg 38801 Academic Dr, Suite B & C, Usa Dentac, Ft Gordon, GA 30905-5660 | 2016-10-04 |
| 1497204366 | April Woods Kaniho | Dental Assistant | Bldg 38801 Academic Dr Suite B & C, Usa Dentac, Ft Gordon, GA 30905-5660 | 2016-10-03 |
| 1689123556 | Harvey Roy Moon | Dental Assistant | Bldg 38801 Academic Dr, Suite B & C, Usa Dentac, Ft Gordon, GA 30905-5660 | 2016-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629521828 | Carmen I Gaybort | Dental Assistant | 1456 Sheridan Pt, Hinesville, GA 31313-9198 | 2016-07-25 |
| 1376995415 | Alisha Potter | Dental Assistant | 305 Vangurard Road, Ft Stewart, GA 31314 | 2016-07-12 |
| 1538511068 | Brandi Harris | Dental Assistant | 305 Vanguard Rd, Ft Stewart, GA 31314 | 2016-07-08 |
| 1548612088 | Adrian Cuthbert | Dental Assistant | 305 Vanguard Road, Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
| 1841642386 | Beverly Lynn Berry | Dental Assistant | 306 Vanguard Road Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
| 1740630060 | Anjanette Nicole' Brown | Dental Assistant | 706 Warriors Rd, Building 2115, Fort Stewart, GA 31314 | 2016-06-17 |
| 1376992719 | Xenia Key | Dental Assistant | 7770 Sightseeing Road, Bernheim Dental Clinic, Fort Benning, GA 31905 | 2016-06-07 |
| 1770932162 | Tammy Allen | Dental Assistant | 701 Hoff Rd Building 9240, Ft. Benning, GA 31909 | 2016-06-07 |
| 1003265406 | Rhonda Mills | Dental Assistant | 7101 Hoff Rd Building 9240, Ft. Benning, GA 31909 | 2016-06-07 |
| 1588013189 | Barbara Parker | Dental Assistant | 2828 Sightseeing Rd, Fort Benning, GA 31905 | 2016-06-06 |
| 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.