Melissa Howington

Individual provider Active NPI Dental Hygienist · Clarklake, MI

NPI 1457780157 · NPPES record last updated Nov 4, 2013

Key facts

NPI
1457780157
Entity type
Individual (NPI type 1)
Primary specialty
Dental Hygienist 124Q00000X
License
2902010239 (MI)
Practice address
8312 Clarklake Rd
Clarklake, MI 49234-9765
Phone
(269) 275-4153
NPI assigned
Nov 4, 2013
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

LicenseStateTypeSpecialty
2902010239MIMDDental Hygienist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 2902010239 MI Yes

Addresses

Primary practice location

8312 Clarklake Rd
Clarklake, MI 49234-9765

Mailing address

8312 Clarklake Rd
Clarklake, MI 49234-9765

Other providers in Clarklake, MI

All providers in Clarklake, MI · Dental Hygienist in Michigan

Sources for this page

Verify at the official NPI Registry.