Ayana E Blagrove, RDH
Individual provider Active NPI Dental Hygienist · Zuni, NM
NPI 1619170339 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1619170339
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- DH010012L (PA)
- Practice address
- Route 301 North B Street
Zuni, NM 87327-0467 - Phone
- (505) 782-4431
- NPI assigned
- Jun 8, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| DH010012L | PA | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zuni Indian Hospital | Past | Accepting new patients | |
| Zuni Indian Hospital Pharmacy | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH010012L | PA | Yes |
Addresses
Primary practice location
Route 301 North B Street
Zuni, NM 87327-0467
Mailing address
PO Box 1087
Zuni, NM 87327-1087
Phone (505) 782-7349
Other providers in Zuni, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.