Nora Rain Smessaert
Individual provider Active NPI Dental Assistant · Bremen, IN
NPI 1376313015 · NPPES record last updated Jan 4, 2024
Key facts
- NPI
- 1376313015
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Assistant 126800000X
- Practice address
- 3261 Lakeshore Dr
Bremen, IN 46506-9209 - Phone
- (574) 276-0990
- NPI assigned
- Jan 4, 2024
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | |||
| Dental Assistant | 126800000X | Yes |
Addresses
Primary practice location
3261 Lakeshore Dr
Bremen, IN 46506-9209
Mailing address
3261 Lakeshore Dr
Bremen, IN 46506-9209
Phone (574) 276-0990
Other providers in Bremen, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 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.