Chelsea Brianne Holle, RDH
Individual provider Active NPI Dental Hygienist · Aledo, TX
NPI 1033970827 · NPPES record last updated Jan 18, 2024
Key facts
- NPI
- 1033970827
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 22394 (TX)
- Practice address
- 2300 Sandlin Dr
Aledo, TX 76008-2026 - Phone
- (318) 455-1706
- NPI assigned
- Jan 18, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22394 | TX | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 22394 | TX | Yes |
Addresses
Primary practice location
2300 Sandlin Dr
Aledo, TX 76008-2026
Mailing address
2300 Sandlin Dr
Aledo, TX 76008-2026
Phone (318) 455-1706
Other providers in Aledo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.