Pearl Thorndal-Stewart
Individual provider Active NPI Dental Hygienist · Torrey, UT
NPI 1104291137 · NPPES record last updated Dec 2, 2015
Key facts
- NPI
- 1104291137
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 376404-0701 (UT)
- Practice address
- 152 North 200 East
Torrey, UT 84775 - Phone
- (435) 691-4319
- NPI assigned
- Dec 2, 2015
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 376404-0701 | UT | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 376404-0701 | UT | Yes |
| Other Specialist/Technologist | 246Z00000X |
Addresses
Primary practice location
152 North 200 East
Torrey, UT 84775
Mailing address
PO Box 750119
Torrey, UT 84775-0119
Phone (435) 691-4319
Other providers in Torrey, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2015. 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.