Desiree Harmon, RDH
Individual provider Active NPI Dental Hygienist · Hill City, KS
NPI 1316767759 · NPPES record last updated Oct 11, 2024
Key facts
- NPI
- 1316767759
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 12995 (KS)
- Practice address
- 2492 290TH Ave
Hill City, KS 67642-2809 - Phone
- (785) 421-7012
- NPI assigned
- Oct 11, 2024
- 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 |
|---|---|---|---|
| 12995 | KS | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 12995 | KS | Yes |
Addresses
Primary practice location
2492 290TH Ave
Hill City, KS 67642-2809
Mailing address
2492 290TH Ave
Hill City, KS 67642-2809
Phone (785) 421-7012
Other providers in Hill City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 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.