Ramona Houston, RDH

Individual provider Active NPI Dental Hygienist · (Johnson City) Mountain Home, TN

NPI 1851319958 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1851319958
Entity type
Individual (NPI type 1)
Primary specialty
Dental Hygienist 124Q00000X
License
DH0000001520 (TN)
Practice address
James H Quillen/Vamc
Corner of Sidney and Lamont
(Johnson City) Mountain Home, TN 37684
Phone
(423) 926-1171
Fax
(423) 979-3428
NPI assigned
Jul 17, 2006
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

LicenseStateTypeSpecialty
DH0000001520TNMDDental Hygienist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH0000001520 TN Yes

Addresses

Primary practice location

James H Quillen/Vamc
Corner of Sidney and Lamont
(Johnson City) Mountain Home, TN 37684

Mailing address

1321 Suncrest Dr
Gray, TN 37615-4117

Other providers in (Johnson City) Mountain Home, TN

All providers in (Johnson City) Mountain Home, TN · Dental Hygienist in Tennessee

Sources for this page

Verify at the official NPI Registry.