Pamela Dianne Emard, BS, RDH, LAP

Individual provider Active NPI Dental Hygienist · Box Elder, MT

NPI 1265915656 · NPPES record last updated Jun 7, 2024

Key facts

NPI
1265915656
Entity type
Individual (NPI type 1)
Primary specialty
Dental Hygienist 124Q00000X
License
1084 (MT)
Practice address
6850 Upper Box Elder Rd
Box Elder, MT 59521-9073
Phone
(406) 395-4486
NPI assigned
Sep 11, 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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
1084MTMDDental Hygienist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 1084 MT Yes

Addresses

Primary practice location

6850 Upper Box Elder Rd
Box Elder, MT 59521-9073

Mailing address

1653 10TH St W
Havre, MT 59501-4701
Phone (406) 390-2821

Other providers in Box Elder, MT

All providers in Box Elder, MT · Dental Hygienist in Montana

Sources for this page

Verify at the official NPI Registry.