Janice Null Bastian
Individual provider Active NPI Dental Hygienist · Owosso, MI
NPI 1265112718 · NPPES record last updated Jul 20, 2023
Key facts
- NPI
- 1265112718
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 2902011299 (MI)
- Practice address
- 200 N Caledonia Dr
Owosso, MI 48867-8844 - Phone
- (989) 729-4848
- Fax
- (989) 921-4959
- NPI assigned
- Jul 20, 2023
- 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 |
|---|---|---|---|
| 2902011299 | MI | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 2902011299 | MI | Yes |
Addresses
Primary practice location
200 N Caledonia Dr
Owosso, MI 48867-8844
Mailing address
501 Lapeer Ave
Saginaw, MI 48607-1203
Phone (989) 759-6464
Other providers in Owosso, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2023. 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.