Diane Alden, RDH

Individual provider Active NPI Dental Hygienist · Oneill, NE

NPI 1760726673 · NPPES record last updated Nov 15, 2012

Key facts

NPI
1760726673
Entity type
Individual (NPI type 1)
Primary specialty
Dental Hygienist 124Q00000X
License
746 (NE)
Practice address
422 E Douglas St
Oneill, NE 68763-1852
Phone
(402) 336-2406
Fax
(402) 336-1768
NPI assigned
Nov 15, 2012
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

State licenses

LicenseStateTypeSpecialty
746NEMDDental Hygienist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 746 NE Yes

Addresses

Primary practice location

422 E Douglas St
Oneill, NE 68763-1852

Mailing address

422 E Douglas St
Oneill, NE 68763-1852
Phone (402) 336-2406

Other providers in Oneill, NE

All providers in Oneill, NE · Dental Hygienist in Nebraska

Sources for this page

Verify at the official NPI Registry.