Kristy Chisowsky, RDH
Individual provider Active NPI Dental Hygienist · Saint Marys, GA
NPI 1942468087 · NPPES record last updated May 27, 2008
Key facts
- NPI
- 1942468087
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- DH009697 (GA)
- Practice address
- 204 Kern CT
Saint Marys, GA 31558-2964 - Phone
- (912) 882-1133
- NPI assigned
- May 27, 2008
- 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 |
|---|---|---|---|
| DH009697 | GA | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH009697 | GA | Yes |
Addresses
Primary practice location
204 Kern CT
Saint Marys, GA 31558-2964
Mailing address
204 Kern CT
Saint Marys, GA 31558-2964
Phone (912) 882-1133
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DH009697 | Other | GA | HYGIENIST |
Other providers in Saint Marys, GA
- Case Chiropractic Neurology Center LLC
- Marc Charles Case
- Hannah Cassel
- Jessica Marie Cerstvik
- Andrea Lynn Chapman
- Michelle Y Christoforo
- Brandi Clark
- Bryan Clark
- Frank David Clements
- Catherine Gurley Clever
All providers in Saint Marys, GA · Dental Hygienist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2008. 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.