Teresa Cruz, RDH

Individual provider Active NPI Dental Hygienist · West Yarmouth, MA

NPI 1093118697 · NPPES record last updated Sep 27, 2014

Key facts

NPI
1093118697
Entity type
Individual (NPI type 1)
Primary specialty
Dental Hygienist 124Q00000X
License
DH12114 (MA)
Practice address
140 Wendward Way
West Yarmouth, MA 02673-8351
Phone
(508) 862-2663
NPI assigned
Sep 27, 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)
Yes

State licenses

LicenseStateTypeSpecialty
DH12114MAMDDental Hygienist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH12114 MA Yes

Addresses

Primary practice location

140 Wendward Way
West Yarmouth, MA 02673-8351

Mailing address

140 Wendward Way
West Yarmouth, MA 02673-8351
Phone (508) 862-2663

Other providers in West Yarmouth, MA

All providers in West Yarmouth, MA · Dental Hygienist in Massachusetts

Sources for this page

Verify at the official NPI Registry.