Sharon Moreno
Individual provider Active NPI Dental Hygienist · Somerton, AZ
NPI 1225510399 · NPPES record last updated Aug 13, 2024
Key facts
- NPI
- 1225510399
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- H009117 (AZ)
- Practice address
- 950 E Main St BLDG B
Somerton, AZ 85350-7409 - Phone
- (928) 236-8001
- Fax
- (928) 722-6113
- NPI assigned
- Sep 5, 2018
- 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 |
|---|---|---|---|
| H009117 | AZ | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | H009117 | AZ | Yes |
Addresses
Primary practice location
950 E Main St BLDG B
Somerton, AZ 85350-7409
Mailing address
PO Box 617
Somerton, AZ 85350-0617
Phone (928) 662-0406
Other practice location 1
1896 E Babbitt LN
San Luis, AZ 85349
Phone (928) 722-6112
Other practice location 2
214 W Main St
Somerton, AZ 85350
Phone (928) 627-1120
Other providers in Somerton, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 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.