Sarah Lynn Willard, RDH

Key facts

NPI

1811247737

Entity type

Individual (NPI type 1)

Primary specialty

Dental Hygienist 124Q00000X

License

H7657 (MN)

Practice address

3430 Outer Dr
Hibbing, MN 55746-2659

Phone

(651) 249-9945

NPI assigned

Sep 18, 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

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 18, 2012.

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1811247737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 OUTER DR",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557462659",
            "telephone_number": "651-249-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 OUTER DR",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557462659",
            "telephone_number": "651-249-9945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLARD",
        "first_name": "SARAH",
        "middle_name": "LYNN",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-18",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MN",
            "license": "H7657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Hibbing, MN · Dental Hygienist in Minnesota