Amber Graham
Individual provider Active NPI Dental Hygienist · Sikeston, MO
NPI 1386058352 · NPPES record last updated Jun 17, 2014
Key facts
- NPI
- 1386058352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 2011017337 (MO)
- Practice address
- 220 Southland Dr
Sikeston, MO 63801-4403 - Phone
- (573) 471-4167
- Fax
- (573) 471-4212
- NPI assigned
- Jun 17, 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 |
|---|---|---|---|
| 2011017337 | MO | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 2011017337 | MO | Yes |
Addresses
Primary practice location
220 Southland Dr
Sikeston, MO 63801-4403
Mailing address
420 Semo Dr
PO Box 400
New Madrid, MO 63869-1734
Phone (573) 748-2404
Other providers in Sikeston, MO
- Gifted Touch in-Home Services LLC
- Sharaye Gilmore
- Jordan Glueck
- Karen Denise Gordon
- Timothy D. Gould
- Randee Grant
- Green Acres Assisted Living LLC
- Green Meadows
- Anita Kay Green
- Teresa Diane Green
All providers in Sikeston, MO · Dental Hygienist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 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.