Lea Ann Tutt, DENTAL HYGIENIST

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

7086 Issued in TX

Practice address

120 S Denton Tap Rd
210
Coppell, TX 75019-3297

Phone

(972) 393-7348

NPI assigned

Jun 7, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Lea Ann Woodard Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962605865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 COWBOYS PKWY",
            "address_2": "2060",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750635403",
            "telephone_number": "214-701-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S DENTON TAP RD",
            "address_2": "210",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750193297",
            "telephone_number": "972-393-7348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUTT",
        "first_name": "LEA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "DENTAL HYGIENIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "TX",
            "license": "7086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEA",
            "last_name": "WOODARD",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "DENTAL HYGIENIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Mary Jo Treadway, RPH
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• Ulanoski Associates, P.a.
• James Robert Ulanoski, M.D.
• Pamela Alberts Ulanoski, M.D.

• Dental Hygienist in Coppell, TX
• Providers in Coppell, TX by specialty
• Dental Hygienist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.