Kristine Campbell Willard
Individual provider Active NPI Dental Hygienist · Camp Lejuene, NC
NPI 1801469044 · NPPES record last updated Jul 23, 2021
Key facts
- NPI
- 1801469044
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 02308 (NC)
- Practice address
- 2D Denbn/NDC PSC 20130
315 McHugh Blvd
Camp Lejuene, NC 28542 - Phone
- (910) 451-2208
- NPI assigned
- Jul 23, 2021
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 02308 | NC | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 02308 | NC | Yes |
Addresses
Primary practice location
2D Denbn/NDC PSC 20130
315 McHugh Blvd
Camp Lejuene, NC 28542
Mailing address
2D Denbn/NDC PSC 20130
315 McHugh Blvd
Camp Lejuene, NC 28542
Other providers in Camp Lejuene, NC
- Janice M Poston
- Joan Cross Robbins
- Jessica Venegas
- Robert Weber
- Carolan Hwa Ja Whitney
- Katherine Leigh Wood
All providers in Camp Lejuene, NC · Dental Hygienist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2021. 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.