Emily L Huttula, RDH
Individual provider Active NPI Dental Hygienist · Springdale, WA
NPI 1447726328 · NPPES record last updated Oct 18, 2018
Key facts
- NPI
- 1447726328
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- DH000007240 (WA)
- Practice address
- 105 N. Second Street
Springdale, WA 99173 - Phone
- (509) 258-7543
- Fax
- (509) 258-7524
- NPI assigned
- Oct 18, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| DH000007240 | WA | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Health Programs Association | Past | Accepting new patients | |
| New Health Program Association | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH000007240 | WA | Yes |
Addresses
Primary practice location
105 N. Second Street
Springdale, WA 99173
Mailing address
2708 N Lacey St
Spokane, WA 99207-5662
Phone (095) 935-6001
Other practice location 1
2708 N Lacey St
Spokane, WA 99207-5662
Phone (206) 948-9942
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | WA |
Other providers in Springdale, WA
- Nora Doreen Cornelius
- Anmarie Giddings
- Richard Jury
- Kellys Healing Massage
- Mary Walker School District
- New Health Program Association
- New Health Programs Association
All providers in Springdale, WA · Dental Hygienist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2018. 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.