Courtney Adams, RDH – Dental Hygienist in Moline, IL

Key facts

NPI: 1497567085
Entity type: Individual (NPI type 1)
Primary specialty: Dental Hygienist 124Q00000X
License: 020013048 (IL)
Practice address: 850 36TH Ave
Moline, IL 61265-7169
Phone: (309) 764-7631
Fax: (309) 764-7635
NPI assigned: Jan 22, 2025
Sex: Female
Sole proprietor: No

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.

Virdi Dental Dental Clinic/Center · Moline, IL · NPI 1215584545

NPD

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
020013048	IL	MD	Dental Hygienist

Practice roles

Organization	Specialty	Status	New patients
Virdi Dental		Current since Jan 26, 2025	Accepting new patients

Locations

850 36th Ave
Moline, IL 61265
Phone (309) 762-5566

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Dental Hygienist	124Q00000X	020013048	IL	Yes

Addresses

Primary practice location

850 36TH Ave
Moline, IL 61265-7169

Mailing address

850 36TH Ave
Moline, IL 61265-7169
Phone (309) 764-7631

Other providers in Moline, IL

All providers in Moline, IL · Dental Hygienist in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2025. 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.

Verify at the official NPI Registry.