Ronda Sedo, RDH
Individual provider Active NPI Dental Hygienist · Garrett, IN
NPI 1245083914 · NPPES record last updated Apr 10, 2024
Key facts
- NPI
- 1245083914
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 13005336A (IN)
- Practice address
- 1359 S Randolph St
Garrett, IN 46738-1970 - Phone
- (260) 357-0077
- NPI assigned
- Apr 10, 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 |
|---|---|---|---|
| 13005336A | IN | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 13005336A | IN | Yes |
Addresses
Primary practice location
1359 S Randolph St
Garrett, IN 46738-1970
Mailing address
1359 S Randolph St
Garrett, IN 46738-1970
Phone (260) 357-0077
Other providers in Garrett, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 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.