Elizabeth David

Individual provider Active NPI Dental Hygienist · Noxen, PA

NPI 1295855369 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1295855369
Entity type
Individual (NPI type 1)
Primary specialty
Dental Hygienist 124Q00000X
License
DH10244L (PA)
Practice address
Monroe-Noxen Health Center
Route 29
Noxen, PA 18636-9766
Phone
(570) 298-2161
Fax
(570) 298-2148
NPI assigned
Mar 30, 2007
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

LicenseStateTypeSpecialty
DH10244LPAMDDental Hygienist

Interoperability endpoints

  • Direct secure messaging: elizabethdavidphd@rhc.medentdirect.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH10244L PA Yes

Addresses

Primary practice location

Monroe-Noxen Health Center
Route 29
Noxen, PA 18636-9766

Mailing address

1084 Route 315
Wilkes-Barre, PA 18702-7012
Phone (570) 825-8741

Other providers in Noxen, PA

All providers in Noxen, PA · Dental Hygienist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.