Mary Ann Hultgren, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

006210 Issued in CT

Practice address

419 Boston Post Rd
West Haven, CT 06516-1918

Phone

(203) 624-5515

NPI assigned

Oct 15, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1093904161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 LEDGEWOOD DR",
            "city": "NORTH BRANFORD",
            "state": "CT",
            "postal_code": "064711816",
            "telephone_number": "203-481-8658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 BOSTON POST RD",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065161918",
            "telephone_number": "203-624-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULTGREN",
        "first_name": "MARY ANN",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CT",
            "license": "006210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casandra Ann Holveck, PHARMD
• Jonathan Francis Hryb, D.C.
• John Schley Hughes, MD
• Ilja Hulinsky, MD PHD
• Charisse Mary Hulse, APRN
• Megan Elizabeth Humphrey, M.S MFT
• Richmond Hung
• Daniel Huntley, APRN
• David J. Hur, MD
• Vanessa Marie Hurley

• Dental Hygienist in West Haven, CT
• Providers in West Haven, CT by specialty
• Dental Hygienist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.