Ignacio Dental Hygiene
Organization Active NPI Dental Hygienist · Ignacio, CO
NPI 1457774168 · NPPES record last updated Jul 17, 2020
Key facts
- NPI
- 1457774168
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Hygienist 124Q00000X
- Legal business name
- IGNACIO DENTAL HYGIENE
- Practice address
- 610 Goddard
Ignacio, CO 81137-0785 - Phone
- (970) 563-0373
- Fax
- (970) 563-9037
- NPI assigned
- Jan 31, 2014
- Organization subpart
- No
Authorized official
- Name
- Miss Ena Marie Millich, R.D. H.
- Title
- Owner
- Phone
- (970) 563-0373
Practitioners 1
-
Ena Marie Millich, R.D.H.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist |
124Q00000X | Yes | ||
| Health Maintenance Organization | 302R00000X | 2023390 | CO |
Addresses
Primary practice location
610 Goddard
Ignacio, CO 81137-0785
Mailing address
PO Box 785
Ignacio, CO 81137-0785
Phone (970) 563-0373
Other providers in Ignacio, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2020. 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.