Allison Giesholt
Individual provider Active NPI Dental Hygienist · Plano, IL
NPI 1295553857 · NPPES record last updated Oct 1, 2024
Key facts
- NPI
- 1295553857
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 020015793 (IL)
- Practice address
- 3910 Turner Ave
Plano, IL 60545-9727 - Phone
- (630) 552-3410
- NPI assigned
- Oct 1, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 020015793 | IL | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ma Boule DMD PC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 020015793 | IL | Yes |
Addresses
Primary practice location
3910 Turner Ave
Plano, IL 60545-9727
Mailing address
3910 Turner Ave
Plano, IL 60545-9727
Phone (630) 552-3410
Other providers in Plano, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 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.