Renee Blanken
Individual provider Active NPI Dental Hygienist · House Springs, MO
NPI 1740680396 · NPPES record last updated Oct 27, 2014
Key facts
- NPI
- 1740680396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 2009020164 (MO)
- Practice address
- 4300 Gravois Rd
House Springs, MO 63051-2304 - Phone
- (636) 321-0150
- NPI assigned
- Sep 2, 2014
- 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 |
|---|---|---|---|
| 2009020164 | MO | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 2009020164 | MO | Yes |
Addresses
Primary practice location
4300 Gravois Rd
House Springs, MO 63051-2304
Mailing address
227 E Main St
Festus, MO 63028-1952
Other providers in House Springs, MO
- Almiron Clinic, Inc.
- Osias A Almiron
- Dennis Edward Baker
- Regina Baker
- Serena Beffa
- Ellen Blattel
- Brittany Jauernig, LLC
- Bruce H. Collignon D.D.S., P.C.
- Elaine J Burke
- Erin Callico
All providers in House Springs, MO · Dental Hygienist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2014. 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.