Judy Ann Mann is a Dental Hygienist in Clovis, California. Judy Ann Mann practices all healthcare services and medical treatments related to Dental Hygienist. The NPI Number for Judy Ann Mann is 1467661249. The last update date is 2007-07-08.
Judy Ann Mann's current location address is 3074 Burgan Ave, Clovis, California. You can contact this provider via phone number 5592922762 and fax number 5592922762. The mailing address for Judy Ann Mann is 3074 Burgan Ave, Clovis, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judy Ann Mann |
|---|---|
| Address | 3074 Burgan Ave, Clovis, California |
| Phone Number | 5592922762 |
| Fax Number | 5592922762 |
| Sole Proprietor | Y |
| Credentials | RDHAP |
NPI Number Detail
| NPI Number | 1467661249 |
|---|---|
| Provider Enumeration Date | 2007-05-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3074 Burgan Ave |
|---|---|
| City | Clovis |
| State | California (CA) |
| Post Code | 936115231 |
| Phone Number | 5592922762 |
| Fax Number | 5592922762 |
Provider's Primary Taxonomy Detail
| Speciality | Dental Hygienist |
|---|---|
| Taxonomy | 124Q00000X |
| Licence No | #59 |
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Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| H-0005901 | CA | DENTI- CAL | |
| 17916 | CA | RDH LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Judy Ann Mann by the Centers for Medicare & Medicaid Services?
The Judy Ann Mann has been issued the NPI (National Provider Identifier) 1467661249 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Judy Ann Mann's physical address?
The Judy Ann Mann is physically located at 3074 Burgan Ave, in the city of Clovis, CA, with the postal code 936115231.
What is Judy Ann Mann's area of expertise and its corresponding taxonomy classification?
The Judy Ann Mann's field of specialization is Dental Hygienist, and it falls under the taxonomy code 124Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Judy Ann Mann receive the assignment of its 1467661249 from the Centers for Medicare & Medicaid Services?
The Judy Ann Mann was issued its 1467661249 by the Centers for Medicare & Medicaid Services on 2007-05-21.
As of what date was the information pertaining to Judy Ann Mann, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Judy Ann Mann, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1063415297
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