Gayle C Briley, RDH
Individual provider Active NPI Dental Hygienist · Channahon, IL
NPI 1386969822 · NPPES record last updated Mar 27, 2010
Key facts
- NPI
- 1386969822
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 020.012838 (IL)
- Practice address
- 26208 S Bell Rd
Channahon, IL 60410-3369 - Phone
- (815) 521-1499
- NPI assigned
- Mar 27, 2010
- 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 |
|---|---|---|---|
| 020.012838 | IL | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 020.012838 | IL | Yes |
Addresses
Primary practice location
26208 S Bell Rd
Channahon, IL 60410-3369
Mailing address
26208 S Bell Rd
Channahon, IL 60410-3369
Phone (815) 521-1499
Other providers in Channahon, IL
- Gregory Lorne Bluhm
- Elizabeth Boersma
- Sarah Bojak
- Kelly Bragdon
- Kevin Breen
- Timothy Brown
- Kristine Bukala
- Natalie K Bunton
- Lisa M Burns
- Regina Burrs
All providers in Channahon, IL · Dental Hygienist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2010. 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.