MS. LYNDA H BUSDOSH, RDH - NPI NUMBER 1427392232

Summary

Provider Name: MS. LYNDA H BUSDOSH, RDH

NPI Number: 1427392232

Clasification: Dental Hygienist (124Q00000X)

Address:
BLDG 171, 4TH AND INNER LOOP RD
FORT IRWIN DENTAL CLINIC COMMAND
FORT IRWIN, CA
ZIP 92310

Phone Number: (760) 380-4990



Detailed Information

MS. Lynda H Busdosh, RDH is a dental hygienist in Fort Irwin, CA. The provider is 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 legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. The assigned NPI number for this provider is 1427392232 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

BLDG 171, 4TH AND INNER LOOP RD
FORT IRWIN DENTAL CLINIC COMMAND
FORT IRWIN, CA
ZIP 92310-076
Phone: (760) 380-4990
Fax: (760) 380-4996

The enumeration date for this NPI number is 11/16/2012 and was last updated on 11/16/2012.

Map - Location of Practice

Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 124Q00000X Dental Hygienist RDH 14692 CA Yes

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1427392232 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
2 Entity Type Code 1 The last name of the provider. If the provider is an individual, this is the legal name.
3 Provider Last Name Legal Name BUSDOSH The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
4 Provider First Name LYNDA
5 Provider Middle Name H The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
6 Provider Name Prefix Text MS. The city name in the location address of the provider being identified.
7 Provider Credential Text RDH The State code in the location of the provider being identified.
8 Provider First Line Business Practice Location Address BLDG 171, 4TH AND INNER LOOP RD The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
9 Provider Second Line Business Practice Location Address FORT IRWIN DENTAL CLINIC COMMAND The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
10 Provider Business Practice Location Address City Name FORT IRWIN The country code in the location address of the provider being identified.
11 Provider Business Practice Location Address State Name CA The name prefix or salutation of the provider if the provider is an individual; for example, Mr., Mrs., or Corporal.
12 Provider Business Practice Location Address Postal Code 923105076 The telephone number associated with the location address of the provider being identified.
13 Provider Business Practice Location Address Country Code If outside U S US The date the provider was assigned a unique identifier (assigned an NPI).
14 Provider Business Practice Location Address Telephone Number 7603804990 The telephone number associated with the location address of the provider being identified.
15 Provider Business Practice Location Address Fax Number 7603804996 The fax number associated with the location address of the provider being identified.
16 Provider Enumeration Date 11/16/2012 The date the provider was assigned a unique identifier (assigned an NPI).
17 Last Update Date 11/16/2012 The telephone number associated with the location address of the provider being identified.
18 Provider Gender Code F The middle name of the provider, if the provider is an individual.
19 Healthcare Provider Taxonomy Code 1 124Q00000X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
20 Provider License Number 1 RDH 14692 The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
21 Provider License Number State Code 1 CA Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
22 Healthcare Provider Primary Taxonomy Switch 1 Y
23 Is Sole Proprietor N Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No

Similar Providers Nearby

NPI Provider Name NPI Type Taxonomy
1417383779 DEANNA M SOTO, RDH Individual Dental Hygienist


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This page was last updated on: 4/19/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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