Dawn Partlow Southerly, RDH
Individual provider Active NPI Dental Hygienist · Middletown, VA
NPI 1093567075 · NPPES record last updated Apr 3, 2024
Key facts
- NPI
- 1093567075
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 0402001943 (VA)
- Practice address
- 173 Skirmisher LN
Middletown, VA 22645-1745 - Phone
- (703) 969-1360
- NPI assigned
- Apr 3, 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 |
|---|---|---|---|
| 0402001943 | VA | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 0402001943 | VA | Yes |
Addresses
Primary practice location
173 Skirmisher LN
Middletown, VA 22645-1745
Mailing address
170 Thurston CT
Clear Brook, VA 22624-1673
Phone (703) 969-1360
Other providers in Middletown, VA
- Linda Bea Allen Nicewarner
- Ashlee Parks
- Providence Midwifery
- Mark J Rohani
- Emma Simon
- Elizabeth Thompson
- Patrick Leslie Tutelo
- Tammy Lynn Wagner
- Stephanie Willard
- Jacob Yost IV
All providers in Middletown, VA · Dental Hygienist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 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.