Crystal Michelle Jarvis, RDH
Individual provider Active NPI Dental Hygienist · Whiteman Afb, MO
NPI 1316199748 · NPPES record last updated Oct 16, 2008
Key facts
- NPI
- 1316199748
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 20398 (FL)
- Practice address
- 331 Sijan Ave
509TH Medical Group/SGD
Whiteman Afb, MO 65305-5001 - Phone
- (660) 687-2201
- Fax
- (660) 687-4376
- NPI assigned
- Oct 16, 2008
- 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 |
|---|---|---|---|
| 20398 | FL | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 20398 | FL | Yes |
Addresses
Primary practice location
331 Sijan Ave
509TH Medical Group/SGD
Whiteman Afb, MO 65305-5001
Mailing address
331 Sijan Ave
509 Medical Group/SGD
Whiteman Afb, MO 65305-5001
Other providers in Whiteman Afb, MO
- Haidee Hasty
- Sallie Nonette Henderson
- Luis Hernandez
- Michael Hubbell
- Haley Elizabeth James
- Benjamin Dwayne Jones
- Linda May Jones
- Tammy Colleen Karamarinov
- Mallory Peyton Kent
- Dylan John Kielcheski
All providers in Whiteman Afb, MO · Dental Hygienist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2008. 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.