Jackie Drushel-Vanamburg, RDH
Individual provider Active NPI Dental Hygienist · Dewitt, MI
NPI 1902398613 · NPPES record last updated May 30, 2018
Key facts
- NPI
- 1902398613
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- Practice address
- 13400 Schavey Rd
Dewitt, MI 48820-9011 - Phone
- (517) 669-2415
- NPI assigned
- May 30, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allor Family Dentistry | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | Yes |
Addresses
Primary practice location
13400 Schavey Rd
Dewitt, MI 48820-9011
Mailing address
13400 Schavey Rd
Dewitt, MI 48820-9011
Other names
- Jackie Drushel
Other providers in Dewitt, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2018. 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.