Mary Louise Camen, RDH
Individual provider Active NPI Dental Hygienist · Munger, MI
NPI 1518259191 · NPPES record last updated May 13, 2011
Key facts
- NPI
- 1518259191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 2902002909 (MI)
- Practice address
- 575 E. Cass Road
Munger, MI 48747-9723 - Phone
- (989) 892-9479
- NPI assigned
- May 13, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 2902002909 | MI | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 2902002909 | MI | Yes |
Addresses
Primary practice location
575 E. Cass Road
Munger, MI 48747-9723
Mailing address
575 E. Cass Rd
Munger, MI 48747-9723
Phone (989) 892-9479
Other providers in Munger, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2011. 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.