Alejandra Garcia, RDH
Individual provider Active NPI Dental Hygienist · Mountain Home, ID
NPI 1063018273 · NPPES record last updated Dec 11, 2020
Key facts
- NPI
- 1063018273
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- DH-3516-RST (ID)
- Practice address
- 2280 American Legion Blvd
Mountain Home, ID 83647-3142 - Phone
- (208) 587-3988
- NPI assigned
- Dec 11, 2020
- 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 |
|---|---|---|---|
| DH-3516-RST | ID | MD | Dental Hygienist |
Interoperability endpoints
- https://api.platform.athenahealth.com/16522/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH-3516-RST | ID | Yes |
Addresses
Primary practice location
2280 American Legion Blvd
Mountain Home, ID 83647-3142
Mailing address
1280 N 10TH E
Mountain Home, ID 83647-1911
Phone (208) 599-0390
Other providers in Mountain Home, ID
- Paulette A Flores
- Thressa K. Fogleman
- Fran'S Affordable Rides
- Weston Vern Frandsen
- Karen Anne Galvan
- Anna Marie Garvin
- Darin K Gere
- Jeffrey Eugene Gibbons
- Dale Robert Gibbs
- Jacob Gibson
All providers in Mountain Home, ID · Dental Hygienist in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2020. 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.