Megan McCormack, HYGIENTIST
Individual provider Active NPI Dental Hygienist · Redway, CA
NPI 1124242888 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1124242888
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- RDH 7642 (CA)
- Practice address
- 101 West Coast Rd
Redway, CA 95560 - Phone
- (707) 923-2783
- NPI assigned
- Apr 12, 2007
- 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 |
|---|---|---|---|
| RDH 7642 | CA | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | RDH 7642 | CA | Yes |
Addresses
Primary practice location
101 West Coast Rd
Redway, CA 95560
Mailing address
PO Box 1533
Redway, CA 95560-1533
Phone (707) 923-4141
Other providers in Redway, CA
- Roopkamal Singh Kahlon
- Ronald John Kehl
- Alexandra Lape
- Sarah Frances Lippitt Houston
- Emily Marshall
- Pearl McGinley
- Renettra Angele Morris
- Tiffany Amber Nickens
- Anne Njoku
- Kelly Noble
All providers in Redway, CA · Dental Hygienist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.