Timberly Sue Daoust, RDH

Individual provider Active NPI Dental Hygienist · Dowagiac, MI

NPI 1750927232 · NPPES record last updated Nov 20, 2019

Key facts

NPI
1750927232
Entity type
Individual (NPI type 1)
Primary specialty
Dental Hygienist 124Q00000X
License
2902013577
Practice address
302 S Front St Ste a
Dowagiac, MI 49047-1750
Phone
(269) 782-0064
NPI assigned
Nov 20, 2019
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)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 2902013577 Yes

Addresses

Primary practice location

302 S Front St Ste a
Dowagiac, MI 49047-1750

Mailing address

4774 Bahama LN
Portage, MI 49002-9045
Phone (269) 271-2291

Other identifiers

IdentifierTypeStateIssuer
2902013577OtherMIDENTAL HYGIENE LICENSE

Other providers in Dowagiac, MI

All providers in Dowagiac, MI · Dental Hygienist in Michigan

Sources for this page

Verify at the official NPI Registry.