Shelly Poust-Kiess
Individual provider Active NPI Dental Hygienist · Unityville, PA
NPI 1316367337 · NPPES record last updated Apr 17, 2014
Key facts
- NPI
- 1316367337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- PHDH000014 (PA)
- Practice address
- 61 S Woods Rd
Unityville, PA 17774-9287 - Phone
- (570) 458-6130
- NPI assigned
- Apr 17, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| DH068324 | PA | MD | Dental Hygienist |
| PHDH000014 | PA | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH068324 | PA | |
| Dental Hygienist | 124Q00000X | PHDH000014 | PA | Yes |
Addresses
Primary practice location
61 S Woods Rd
Unityville, PA 17774-9287
Mailing address
61 S Woods Rd
Unityville, PA 17774-9287
Phone (570) 458-6130
Other providers in Unityville, PA
All providers in Unityville, PA · Dental Hygienist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2014. 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.