Merel Hancock, RDH
Individual provider Active NPI Dental Hygienist · Isleta, NM
NPI 1407302227 · NPPES record last updated Aug 31, 2016
Key facts
- NPI
- 1407302227
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 1076 (NM)
- Practice address
- 01 Sagebrush Rd
Isleta, NM 87022 - Phone
- (505) 869-4499
- Fax
- (505) 869-4577
- NPI assigned
- Aug 31, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pueblo of Isleta | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 1076 | NM | Yes |
Addresses
Primary practice location
01 Sagebrush Rd
Isleta, NM 87022
Mailing address
01 Sagebrush
Isleta, NM 87022
Phone (505) 869-4499
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1076 | Other | NM | RDH LISENCE |
Other providers in Isleta, NM
- Charlene Nicolette Gabaldon
- Roseann Garcia
- Devin Kyle Giron
- Juan J Gutierrez
- Nancy M Halonen
- Leslie J Herman
- Jon Hernandez
- Stephen Hubbert
- Isleta Elderly Services
- Kissendrah Sue Johnson
All providers in Isleta, 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 Aug 31, 2016. 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.