Molli Yamulla
Individual provider Active NPI Dental Hygienist · Freeland, PA
NPI 1346360435 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1346360435
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- DH13060L (PA)
- Practice address
- Freeland Health Center
404 Ridge Street
Freeland, PA 18224-1805 - Phone
- (570) 636-1010
- Fax
- (570) 636-0985
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| DH13060L | PA | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH13060L | PA | Yes |
Addresses
Primary practice location
Freeland Health Center
404 Ridge Street
Freeland, PA 18224-1805
Mailing address
1084 Route 315
Wilkes-Barre, PA 18702-7012
Phone (570) 825-8741
Other providers in Freeland, PA
All providers in Freeland, 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 Jul 8, 2007. 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.