Mariah O'Connell, RDH
Individual provider Active NPI Dental Hygienist · Fort Lupton, CO
NPI 1619475159 · NPPES record last updated Jun 8, 2020
Key facts
- NPI
- 1619475159
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- Practice address
- 203 S Rollie Ave
Fort Lupton, CO 80621-1508 - Phone
- (303) 892-6401
- NPI assigned
- Jan 30, 2018
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | CO | Yes |
Addresses
Primary practice location
203 S Rollie Ave
Fort Lupton, CO 80621-1508
Mailing address
1530 Wildflower CT
Brighton, CO 80601-6794
Other practice location 1
1530 Wildflower Ct
Brighton, CO 80601-6794
Phone (720) 435-3355
Other providers in Fort Lupton, CO
- Steven Michael Moore
- Michael Moro
- North Range Behavioral Health
- North Range Behavioral Health
- North Range Behavioral Health
- Joseph Francis Oelerich
- Paswaters Construction Inc
- Travis Warner Fredrick Paswaters
- Melissa Jo Phifer
- Rebecca Pilson
All providers in Fort Lupton, CO · Dental Hygienist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2020. 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.