Rechawn A Fair, RDH
Individual provider Active NPI Dental Hygienist · Temperance, MI
NPI 1972158236 · NPPES record last updated Jun 18, 2020
Key facts
- NPI
- 1972158236
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 2902017068 (MI)
- Practice address
- 8765 Lewis Ave
Temperance, MI 48182-9583 - Phone
- (734) 847-3802
- Fax
- (734) 850-0520
- NPI assigned
- Aug 5, 2019
- 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 |
|---|---|---|---|
| 2902017068 | MI | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 2902017068 | MI | Yes |
Addresses
Primary practice location
8765 Lewis Ave
Temperance, MI 48182-9583
Mailing address
8765 Lewis Ave
Temperance, MI 48182-9583
Phone (734) 847-3802
Other providers in Temperance, MI
- Brenda Jurgenson Duggan
- Mary Ann Durbin
- Kerri Easton
- Cori Lynn Edmondson
- Chelsea Engler
- Family Medical Center of Michigan, Inc
- Family Medical Center of Michigan, Inc
- Family Medical Center of Michigan,Inc
- Family Medical Center of Michigan,Inc
- Family Medical Center of Michigan,Inc
All providers in Temperance, MI · Dental Hygienist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2020. 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.