Kimberly Montgomery Artis, RDH
Individual provider Active NPI Dental Hygienist · Crownpoint, NM
NPI 1346643970 · NPPES record last updated Sep 26, 2014
Key facts
- NPI
- 1346643970
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 020013169 (IL)
- Practice address
- Hwy Junction 371 and Route 9
Crownpoint Healthcare Facility
Crownpoint, NM 87313-0358 - Phone
- (505) 786-6283
- Fax
- (505) 786-6394
- NPI assigned
- Sep 26, 2014
- 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 |
|---|---|---|---|
| 020013169 | IL | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 020013169 | IL | Yes |
Addresses
Primary practice location
Hwy Junction 371 and Route 9
Crownpoint Healthcare Facility
Crownpoint, NM 87313-0358
Mailing address
PO Box 358
Crownpoint, NM 87313-0358
Phone (505) 786-6283
Other providers in Crownpoint, NM
- Carma Abeita
- Yarelis Acosta Ortiz
- Diane E Alaimo
- Tex W Anderson Jr.
- Albert Anthony Armitage Jr.
- Kali Autrey
- Cyrene May Ibanez Bagayas
- Jennifer L. Becenti
- Aurelia Begay-Harlan
- Dustin Begay
All providers in Crownpoint, NM · Dental Hygienist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 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.