Rachel Allison Bledsoe, RDH
Individual provider Active NPI Dental Hygienist · Big Stone Gap, VA
NPI 1760103717 · NPPES record last updated Sep 8, 2022
Key facts
- NPI
- 1760103717
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 5639 (TN)
- Practice address
- 272 Dogwood Drive
Dental Dept.
Big Stone Gap, VA 24219-3820 - Phone
- (276) 524-3871
- NPI assigned
- Sep 8, 2022
- 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 |
|---|---|---|---|
| 0402208545 | VA | MD | Dental Hygienist |
| 5639 | TN | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 0402208545 | VA | |
| Dental Hygienist | 124Q00000X | 5639 | TN | Yes |
Addresses
Primary practice location
272 Dogwood Drive
Dental Dept.
Big Stone Gap, VA 24219-3820
Mailing address
272 Dogwood Drive
Dental Dept.
Big Stone Gap, VA 24219-3820
Phone (276) 524-3871
Other providers in Big Stone Gap, VA
- Patty Biles
- Christopher Eugene Bishop
- Doris Jean Bishop
- Daphne Dawn Blanton
- Mark Lee Blanton
- Blue Ridge Medical Management Corpoartion
- Judy Ann Bolling
- Rebecca Faith Bolling
- Susan Kay Bolling
- Troy Adam Boring II
All providers in Big Stone Gap, VA · Dental Hygienist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 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.