Susan Renee Huber

Individual provider Active NPI Dental Hygienist · Brewster, WA

NPI 1265073290 · NPPES record last updated Oct 1, 2019

Key facts

NPI
1265073290
Entity type
Individual (NPI type 1)
Primary specialty
Dental Hygienist 124Q00000X
License
DH60478807 (WA)
Practice address
101 6TH St
Brewster, WA 98812-3404
Phone
(509) 689-3789
NPI assigned
Oct 1, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
DH60478807WAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Centers Past
since Oct 6, 2019
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH60478807 WA Yes

Addresses

Primary practice location

101 6TH St
Brewster, WA 98812-3404

Mailing address

PO Box 1340
Okanogan, WA 98840-1340
Phone (509) 422-8632

Other providers in Brewster, WA

All providers in Brewster, WA · Dental Hygienist in Washington

Sources for this page

Verify at the official NPI Registry.