Advanced Practice Dental Therapist Providers - Nationwide
125K00000X - Advanced Practice Dental Therapist
An Advanced Practice Dental Therapist is:
(1) A dental therapist who has completed additional training beyond basic dental therapy education and provides dental services in accordance with state advanced practice dental therapist laws or statutes; or
(2) A dental hygienist with a graduate degree in advanced dental therapy prepared for independent and interdependent decision making and direct accountability for clinical judgment across the dental health care continuum.
The individual has been authorized by the relevant state board or a tribal entity to provide services under the remote supervision of a dentist. The functions of the advanced practice dental therapist vary based on the needs of the dentist, the educational preparation of the advanced practice dental therapist and state dental practice acts and regulations.
List of 96 registered providers with a business address in Nationwide whose primary or secondary health provider taxonomy code is Advanced Practice Dental Therapist, .
List of Providers
| Provider Name | Type | Address | Medicare | PECOS | |
|---|---|---|---|---|---|
| ACADEMY DENTAL LLC ACADEMY SQUARE DENTAL CARE | Organization | 488 N 100 E ST. PROVO, UT 84606 (801) 374-0867 | Non-Participating Provider | NO | |
| ACADEMY DENTAL LLC ACADEMY SQUARE DENTAL CARE | Organization | 488 N 100 E ST. PROVO, UT 84606 (801) 374-0867 | Non-Participating Provider | NO | |
| TAIBA ALSARRAF | Individual | 100 E NEWTON ST BOSTON, MA 02118 (617) 638-4700 | Non-Participating Provider | NO | |
| ASHBURNFARM DENTAL ARTS LANDMARK SMILE DDS PC | Organization | 43330 JUNCTION PLAZA SUITE 122 ASHBURN, VA 20147 (703) 729-7900 | Non-Participating Provider | NO | |
| CARLEY BANKS | Individual | 1575 20TH ST NW FARIBAULT, MN 55021 (507) 334-6433 | Non-Participating Provider | NO | |
| NOOSHIN BASSERI | Individual | 3140 MELENDY DRIVE SAN CARLOS, CA 94070 (650) 802-8232 | Non-Participating Provider | NO | |
| TRISHA MARIE BATTAGLIA | Individual | 16735 LEROY LN OREGON CITY, OR 97045 (503) 756-5437 | Non-Participating Provider | NO | |
| MARK ALAN BELL | Individual | 3878 MIDDLE RD BETTENDORF, IA 52722 (563) 508-3545 | Non-Participating Provider | NO | |
| BRIEANNE KELSEY BORNTRAGER | Individual | 13899 HWY 13 S FRNT RD SAVAGE, MN 55378 (763) 218-0597 | Non-Participating Provider | NO | |
| BRENDA BOSWORTH | Individual | 686 TWO MILE RD PORT ALLEGANY, PA 16743 (814) 642-2732 | Non-Participating Provider | NO | |
| LYNNETTE BRADLEY | Individual | 4218 GILES CT RIVERSIDE, CA 92503 (951) 314-5349 | Non-Participating Provider | NO | |
| ELIZABETH BRANCA | Individual | 636 BROADWAY ST NE MINNEAPOLIS, MN 55413 (612) 746-1530 | Non-Participating Provider | NO | |
| PATRICIA LYNN BRINKMAN | Individual | 8911 WHISPERING WIND RD LINCOLN, NE 68512 (402) 759-2561 | Non-Participating Provider | NO | |
| ELIZABETH BRUTUS | Individual | 2623 S ANDREWS LN SAN BERNARDINO, CA 92408 (909) 222-4654 | Non-Participating Provider | NO | |
| BYRONSMIZUHA DMD,MSD, PS | Organization | 19320 40TH AVE W STE B LYNNWOOD, WA 98036 (425) 771-3000 | Non-Participating Provider | NO | |
| ALEXIS LEIGH CARRILLO-HOLGUIN | Individual | 501 W BROADWAY STE 800 SAN DIEGO, CA 92101 (619) 368-0053 | Non-Participating Provider | NO | |
| DREW JAMES CHRISTIANSON | Individual | 12936 63RD AVE N MAPLE GROVE, MN 55369 (763) 559-3400 | Non-Participating Provider | NO | |
| CARLY RENE' CLARK | Individual | 3324 N ARLINGTON PL PORTLAND, OR 97217 (503) 887-5923 | Non-Participating Provider | NO | |
| THERESA ZENNER CLOUSE | Individual | 1849 S TAMARACK ST VISALIA, CA 93277 (559) 737-0123 | Non-Participating Provider | NO | |
| HEIDI COGGAN | Individual | 7509 DRAPER AVE #302 LA JOLLA, CA 92037 (858) 754-8557 | Non-Participating Provider | NO | |
| JANICE KATHERINE COLEMAN | Individual | 395 W 24TH ST 17782 DIANTHUS AVE FONTANA CA.92335 SAN BERNARDINO, CA 92405 (909) 474-9434 | Non-Participating Provider | NO | |
| DOMINIC COMERATE | Individual | 1717 W COWLES ST FAIRBANKS, AK 99701 (907) 452-8251 | Non-Participating Provider | NO | |
| CT OROFACIAL MYOLOGY, LLC | Organization | 384 MIXVILLE RD CHESHIRE, CT 06410 (203) 217-7090 | Non-Participating Provider | NO | |
| DANTAL DENTAL CORPORATION | Organization | 500 W SOUTHERN AVE #1-3 MESA, AZ 85210 (480) 664-1449 | Non-Participating Provider | NO | |
| DEIDRE DAYTON | Individual | 1717 W COWLES ST FAIRBANKS, AK 99701 (907) 452-8251 | Non-Participating Provider | NO | |
| TERRI DE LA PENA | Individual | 10011 SHAGGYBARK DR SANTEE, CA 92071 (619) 316-9319 | Non-Participating Provider | NO | |
| DELIVERING SMILES INC. | Organization | 202 W RIVERRIDGE AVE FRESNO, CA 93711 (559) 960-2232 | Non-Participating Provider | NO | |
| DENTISTRY AT 1818 MARKET ST | Organization | 1818 MARKET ST SUITE 100 PHILADELPHIA, PA 19103 (215) 567-2666 | Non-Participating Provider | NO | |
| TANU DHOOPAR | Individual | 3152 MINNEHAHA AVE MINNEAPOLIS, MN 55406 (612) 332-4973 | Non-Participating Provider | NO | |
| LYDIA J DIEKMANN | Individual | 2711 BROADWAY AVE STE A00 SLAYTON, MN 56172 (507) 836-1000 | Non-Participating Provider | NO | |
| DOUG SMITH DDS ORTHODONTICS LLC SMITH DENTAL SPECIALTIES | Organization | 5102 PAULSEN ST BLDG 8 SAVANNAH, GA 31405 (912) 655-8855 | Non-Participating Provider | NO | |
| APRIL MONET DURANT | Individual | 3153 LADOGA AVE LONG BEACH, CA 90808 (562) 760-3983 | Non-Participating Provider | NO | |
| NOURA FADEL RATEB | Individual | 720 BROOKSIDE AVE STE 100 REDLANDS, CA 92373 (585) 770-0592 | Non-Participating Provider | NO | |
| RENEE G FLETCHER | Individual | 75 N LEXINGTON CT ELLERSLIE, GA 31807 (706) 536-9240 | Non-Participating Provider | NO | |
| TIFFANY GEORGE | Individual | 1717 W COWLES ST FAIRBANKS, AK 99701 (907) 452-8251 | Non-Participating Provider | NO | |
| MARY ELIZABETH GOSHORN | Individual | 46 RED HILL CT NEWPORT, PA 17074 (717) 230-3919 | Non-Participating Provider | NO | |
| MEGAN ELLEN GRAFF | Individual | 6084 GOLD SPIRIT ST EASTVALE, CA 92880 (909) 938-4082 | Non-Participating Provider | NO | |
| GROUP HEALTH PLAN INC HEALTHPARTNERS | Organization | 5500 EXCELSIOR BLVD ST LOUIS PARK, MN 55416 (952) 853-9120 | Non-Participating Provider | NO | |
| GROUP HEALTH PLAN INC | Organization | 450 SYNDICATE ST N STE 300 SAINT PAUL, MN 55104 (651) 254-7373 | Non-Participating Provider | NO | |
| JODI LYNN HAGER | Individual | 115 DREW AVE SE SUITE 202 MADELIA, MN 56062 (507) 642-8742 | Non-Participating Provider | NO | |
| JENNIFER HAHN | Individual | 618 MANUEL DR NOVATO, CA 94945 (415) 897-3230 | Non-Participating Provider | NO | |
| TERANI ROSE HARRIS | Individual | 601 HIGHWAY 73 FLOODWOOD, MN 55736 (218) 476-2969 | Non-Participating Provider | NO | |
| HEALTH CENTER OF UTAH SLEEP AND WELLNESS CENTER OF UTAH | Organization | 1305 N COMMERCE DR #200 SARATOGA SPRINGS, UT 84045 (801) 766-4944 | Non-Participating Provider | NO | |
| HEALTH CENTER OF UTAH SLEEP AND WELLNESS CENTER OF UTAH | Organization | 1305 N COMMERCE DR #200 SARATOGA SPRINGS, UT 84045 (801) 766-4944 | Non-Participating Provider | NO | |
| AMY J. HOLLIS | Individual | 40555 CALIFORNIA OAKS RD # 135 MURRIETA, CA 92562 (951) 501-6490 | Non-Participating Provider | NO | |
| CHRISTINA MARIE HUBRED | Individual | MISKOVICH DENTAL CLINIC 1121 SE 4TH AVENUE GRAND RAPIDS, MN 55744 (218) 326-3437 | Non-Participating Provider | NO | |
| ASHLEY HUEMAN | Individual | 973 SKYLINE DR SW ROCHESTER, MN 55902 (507) 474-1040 | Non-Participating Provider | NO | |
| INFIRM CARE DENTAL SERVICES, INC. | Organization | 460 INDUSTRIAL LN ONEIDA, TN 37841 (865) 206-6198 | Non-Participating Provider | NO | |
| CHRISTINE JACKSON-BARTOLOMEI | Individual | 4806 DARLINGTON LN SACRAMENTO, CA 95835 (916) 712-1427 | Non-Participating Provider | NO | |
| JOHN W BYERS, DDS, PLLC | Organization | 122 YATES AVE GRAFTON, WV 26354 (304) 265-2438 | Non-Participating Provider | NO | |
| LAUREN JOHNSON | Individual | 1575 20TH ST NW SUITE 102 FARIBAULT, MN 55021 (507) 334-6433 | Non-Participating Provider | NO | |
| TRACY LYNN JOHNSTON | Individual | 508 CLARADON AVE COLUMBUS, GA 31906 (706) 615-1977 | Non-Participating Provider | NO | |
| SANDRA DEE KARRER | Individual | 503 13TH ST PASO ROBLES, CA 93446 (805) 468-9191 | Non-Participating Provider | NO | |
| PETER KORN | Individual | 11135 ROSEMARY DR AUBURN, CA 95603 (530) 906-7609 | Non-Participating Provider | NO | |
| ANNETTE LEDEZMA | Individual | 676 PECKHAM DR WHITTIER, CA 90601 (323) 812-0422 | Non-Participating Provider | NO | |
| LORENA LUCERO | Individual | 1026 PALM DR HERMOSA BEACH, CA 90254 (360) 688-9908 | Non-Participating Provider | NO | |
| HEATHER JOAN HEATHCOTE LUEBBEN | Individual | 8600 NICOLLET AVE S BLOOMINGTON, MN 55420 (529) 541-2888 | Non-Participating Provider | NO | |
| KRISTINA MARIE MANKINS | Individual | 6708 N DURANT AVE FRESNO, CA 93711 (805) 441-5499 | Non-Participating Provider | NO | |
| MARIE EKINS RDHAP CORP HEALING HANDS IN-HOME DENTAL HYGIENE, PRACTICE OF MARIE EKINS RDHAP | Organization | 10831 CANELO RD WHITTIER, CA 90604 (800) 280-1608 | Non-Participating Provider | NO | |
| MELISSA MASSETTI | Individual | 6708 N DURANT AVE FRESNO, CA 93711 (559) 824-0585 | Non-Participating Provider | NO | |
| MONI DENTISTRY PLLC | Organization | 820 N ZANG BLVD STE 110 DALLAS, TX 75208 (214) 948-3364 | Non-Participating Provider | NO | |
| CHARON MOODY | Individual | 727 E HOLBORN DR CARSON, CA 90746 (213) 591-0807 | Non-Participating Provider | NO | |
| LYNNE MOODY | Individual | 121 COUNTY ST LAKEVILLE, MA 02347 (774) 849-0551 | Non-Participating Provider | NO | |
| HILCIA E. MORENO-DASILVA | Individual | 17806 MIRANDA ST ENCINO, CA 91316 (818) 370-4549 | Non-Participating Provider | NO | |
| NALINI M JOKMELS,DDS, A PROFESSIONAL CORPORATION CAPSTONE DENTAL CARE | Organization | 4981 VALLEY VIEW AVE SUITE-A YORBA LINDA, CA 92886 (714) 993-3702 | Non-Participating Provider | NO | |
| PHONG NGUYEN | Individual | 1213 E FRANKLIN AVE MINNEAPOLIS, MN 55404 (612) 872-8086 | Non-Participating Provider | NO | |
| APIS NIKRODHANOND | Individual | 1106 NEAL AVE JOLIET, IL 60433 (815) 727-8670 | Non-Participating Provider | NO | |
| NOURA FADEL RATEB DDS INC | Organization | 720 BROOKSIDE AVE STE 100 REDLANDS, CA 92373 (909) 488-0222 | Non-Participating Provider | NO | |
| DELIS OGANDO | Individual | 505 N JACKSON ST JACKSON, MI 49201 (517) 748-5500 | Non-Participating Provider | NO | |
| MAUREEN O'SULLIVAN | Individual | 385 S OWASSO BLVD W ROSEVILLE, MN 55113 (612) 801-5203 | Non-Participating Provider | NO | |
| SARAH PALMER | Individual | 605 MARINE AVE KENAI, AK 99611 (907) 283-4875 | Non-Participating Provider | NO | |
| PHILLIP PARKER | Individual | 3669 MAIN ST STONE RIDGE, NY 12484 (845) 687-0066 | Non-Participating Provider | YES | |
| DAVID JAMES PRIMAC | Individual | 239 S LA CIENEGA BLVD #208 BEVERLY HILLS, CA 90211 (310) 652-1318 | Non-Participating Provider | NO | |
| CARLOS HERIBERTO QUINONEZ | Individual | 16077 CHELLA DR HACIENDA HEIGHTS, CA 91745 (323) 447-5480 | Non-Participating Provider | NO | |
| ROWLETT DENTIST PLLC | Organization | 8701 LIBERTY GROVE RD STE 50 ROWLETT, TX 75089 (972) 401-4900 | Non-Participating Provider | NO | |
| ZIMRA R ROZ | Individual | 115 N SYCAMORE AVE LOS ANGELES, CA 90036 (323) 422-5020 | Non-Participating Provider | NO | |
| SANDEEP MANN RDHAP INC. | Organization | 3384 AMY DR CORONA, CA 92882 (704) 732-6204 | Non-Participating Provider | NO | |
| EVELYN MARIE SCHRAGER | Individual | 803 E WOODHAVEN LN FRESNO, CA 93720 (559) 307-1810 | Non-Participating Provider | NO | |
| ENRIQUE MARTIN SCHUBERT | Individual | 1611 NW 12TH AVE MIAMI, FL 33136 (305) 585-5326 | Non-Participating Provider | NO | |
| DANAE MARIE SEYFFER | Individual | 2001 BLOOMINGTON AVE MINNEAPOLIS, MN 55404 (612) 301-0918 | Non-Participating Provider | NO | |
| MARTI ANN SIDOLI-TANNER | Individual | 6806 W ALLUVIAL AVE FRESNO, CA 93722 (559) 304-4080 | Non-Participating Provider | NO | |
| KAITLIN SIEWERT | Individual | 520 MAIN STREET HAWLEY, MN 56549 (218) 483-1038 | Non-Participating Provider | NO | |
| JYOTSANA SINGH | Individual | 5300 SWAINSONS CT MOBILE UNIT CONCORD, CA 94521 (925) 474-4402 | Non-Participating Provider | NO | |
| CATHY ANN SMITH | Individual | 1500 E MEDICAL CENTER DR ANN ARBOR, MI 48109 (734) 936-4000 | Accepts Medicare | YES | |
| STATE STREET SMILES | Organization | 405 MAIN STREET HACKENSACK, NJ 07601 (201) 487-7030 | Non-Participating Provider | NO | |
| THE DENTAL HYGIENE COACH DENTAL HYGIENE PRACTICE OF MASSETTI AND MANKINS INC. | Organization | 6708 N DURANT AVE FRESNO, CA 93711 (559) 824-0585 | Non-Participating Provider | NO | |
| HALEY LEA THOMAS | Individual | 115 DREW AVE SE MADELIA, MN 56062 (507) 642-8742 | Non-Participating Provider | NO | |
| TRAVIS TRAMEL | Individual | 4199 FLAT ROCK DR SUITE 127 RIVERSIDE, CA 92505 (951) 428-1714 | Non-Participating Provider | NO | |
| JOEL TZINBERG | Individual | 6280 JACKSON DR SUITE 5 SAN DIEGO, CA 92119 (619) 465-4617 | Non-Participating Provider | NO | |
| LUCKY VANG | Individual | 409 DUNLAP ST N SAINT PAUL, MN 55104 (651) 290-9200 | Non-Participating Provider | YES | |
| VASH DENTAL LLC | Organization | 623 NE 160TH AVE PORTLAND, OR 97230 (503) 502-0701 | Non-Participating Provider | NO | |
| VASH DENTAL MOBILE LLC | Organization | 1405 SE 168TH PL PORTLAND, OR 97233 (503) 502-6525 | Non-Participating Provider | NO | |
| VIRTUDENT MA LLC | Organization | 21 DRYDOCK AVE. 6TH FLOOR C/O MASSCHALLENGE BOSTON, MA 02210 (617) 863-4569 | Non-Participating Provider | NO | |
| VITAL DENTAL | Organization | 30 E 40TH ST RM 201 NEW YORK, NY 10016 (781) 535-1068 | Non-Participating Provider | NO | |
| KALEY VOLTZ | Individual | 2001 W LINCOLN AVE FERGUS FALLS, MN 56537 (218) 998-2218 | Non-Participating Provider | NO | |
| WESTCHESTER MYOFUNCTIONAL SPECIALTIES | Organization | 774 WHITE PLAINS RD STE 250 SCARSDALE, NY 10583 (914) 348-3486 | Non-Participating Provider | NO |
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