Beth Burris, RDH
Individual provider Active NPI Dental Hygienist · Lake Tapps, WA
NPI 1619628658 · NPPES record last updated Jan 11, 2022
Key facts
- NPI
- 1619628658
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- Practice address
- 19814 11TH St E
Lake Tapps, WA 98391-6202 - Phone
- (253) 904-6676
- NPI assigned
- Jan 11, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | Yes |
Addresses
Primary practice location
19814 11TH St E
Lake Tapps, WA 98391-6202
Mailing address
19814 11TH St E
Lake Tapps, WA 98391-6202
Other providers in Lake Tapps, WA
- Heidi Teresa Bell
- Scott Lowell Bergen
- Rebekah Betts
- Rupinder Bhuller
- Linda M Bowman
- Julie Cardenas
- Ellen Barbara Cassill
- Alex Mauricio Castro
- Rachelle Caviness
- Lila M Day
All providers in Lake Tapps, WA · Dental Hygienist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2022. 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.