Beth Ellen Bathurst, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

4639 Issued in MD

Practice address

791 Aquahart Rd
Glen Burnie, MD 21061-3961

Phone

(410) 222-6861

Fax

(410) 222-6688

NPI assigned

Apr 19, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487871604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 S SHORE DR",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210608515",
            "telephone_number": "410-222-6861",
            "fax_number": "410-222-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "791 AQUAHART RD",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613961",
            "telephone_number": "410-222-6861",
            "fax_number": "410-222-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATHURST",
        "first_name": "BETH",
        "middle_name": "ELLEN",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MD",
            "license": "4639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Hygienist in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Dental Hygienist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.