Dayle Lynn Christensen, RDJ

Individual provider Active NPI Dental Hygienist · Rifle, CO

NPI 1437409869 · NPPES record last updated Sep 13, 2012

Key facts

NPI
1437409869
Entity type
Individual (NPI type 1)
Primary specialty
Dental Hygienist 124Q00000X
License
2509 (CO)
Practice address
1430 Railroad Ave Suite B
Rifle, CO 81650
Phone
(970) 625-1696
NPI assigned
Sep 13, 2012
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2509COMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rifle Smiles PC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 2509 CO Yes

Addresses

Primary practice location

1430 Railroad Ave Suite B
Rifle, CO 81650

Mailing address

0680 County Rd 294
Rifle, CO 81650
Phone (970) 625-1758

Other providers in Rifle, CO

All providers in Rifle, CO · Dental Hygienist in Colorado

Sources for this page

Verify at the official NPI Registry.