Jill Ranae Ferdina

Individual provider Active NPI Dental Hygienist · Wolf Point, MT

NPI 1881153286 · NPPES record last updated Mar 15, 2019

Key facts

NPI
1881153286
Entity type
Individual (NPI type 1)
Primary specialty
Dental Hygienist 124Q00000X
Practice address
415 4TH Ave S
Wolf Point, MT 59201-1639
Phone
(406) 653-1653
NPI assigned
Mar 15, 2019
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Peck Tribes Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X Yes

Addresses

Primary practice location

415 4TH Ave S
Wolf Point, MT 59201-1639

Mailing address

417 East 13TH Street
Poplat, MT 59255
Phone (406) 768-3383

Other providers in Wolf Point, MT

All providers in Wolf Point, MT · Dental Hygienist in Montana

Sources for this page

Verify at the official NPI Registry.