Cassandra Dahm, RDH
Individual provider Active NPI Dental Hygienist · Lincoln, IL
NPI 1831780428 · NPPES record last updated Jan 27, 2021
Key facts
- NPI
- 1831780428
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 020.013583 (IL)
- Practice address
- 109 3Rd St
Lincoln, IL 62656-2604 - Phone
- (217) 735-2317
- NPI assigned
- Jan 27, 2021
- 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 |
|---|---|---|---|
| 020.013583 | IL | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 020.013583 | IL | Yes |
Addresses
Primary practice location
109 3Rd St
Lincoln, IL 62656-2604
Mailing address
109 3Rd St
Lincoln, IL 62656-2604
Phone (217) 735-2317
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IL | Medicaid | IL |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cdahm31@siumed.edu |
Other providers in Lincoln, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 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.