Lynn Marie McDaniel, REG. DENTAL HYGIENIS
Individual provider Active NPI Dental Hygienist · Christopher, IL
NPI 1801028527 · NPPES record last updated Aug 13, 2009
Key facts
- NPI
- 1801028527
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 020007629 (IL)
- Practice address
- 4241 Highway 14 West
Christopher, IL 62822 - Phone
- (618) 724-2436
- NPI assigned
- Aug 13, 2009
- 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 |
|---|---|---|---|
| 020007629 | IL | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 020007629 | IL | Yes |
Addresses
Primary practice location
4241 Highway 14 West
Christopher, IL 62822
Mailing address
PO Box 155
Christopher, IL 62822-0155
Phone (618) 724-2436
Other providers in Christopher, IL
- Stephanie Maloney
- Erica Maple
- Marion Eye Centers LTD.
- Amber Martinez-Duran
- Larry McBride
- Rebecca McMurray
- Sarah Sue Menckowski
- Cynthia A Metcalf
- Elizabeth A Michaels
- Sarah Miner
All providers in Christopher, IL · Dental Hygienist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2009. 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.