Dawn Anderson, R.D.H

Individual provider Active NPI Dental Hygienist · Kalispell, MT

NPI 1003235409 · NPPES record last updated Apr 14, 2014

Key facts

NPI
1003235409
Entity type
Individual (NPI type 1)
Primary specialty
Dental Hygienist 124Q00000X
License
682 (MT)
Practice address
175 Manning Rd
Kalispell, MT 59901-8054
Phone
(406) 471-4549
NPI assigned
Apr 14, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
682MTMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 682 MT Yes

Addresses

Primary practice location

175 Manning Rd
Kalispell, MT 59901-8054

Mailing address

PO Box 2378
Kalispell, MT 59903-2378
Phone (406) 471-4549

Other providers in Kalispell, MT

All providers in Kalispell, MT · Dental Hygienist in Montana

Sources for this page

Verify at the official NPI Registry.