Jane Marie McIntyre, R.D.H
Individual provider Active NPI Dental Hygienist · La Center, WA
NPI 1982802351 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1982802351
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- HL00007265 (WA)
- Practice address
- 37615 NE 142ND Ave
La Center, WA 98629-4442 - Phone
- (360) 601-0396
- NPI assigned
- Jul 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| HL00007265 | WA | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | HL00007265 | WA | Yes |
Addresses
Primary practice location
37615 NE 142ND Ave
La Center, WA 98629-4442
Mailing address
37615 NE 142ND Ave
La Center, WA 98629-4442
Phone (360) 601-0396
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5902299 | Medicaid | WA |
Other providers in La Center, WA
- Therese Livella
- Brittnie Manuel
- Diana Elisabet Martinez
- Sara Massie
- Tonya Kathleen Mathews
- Nikki Meadows
- Jason Ronald Miller
- Aminkeng Nkafu
- River Valley Acupuncture LLC
- Cynthia J Robinson-Batres
All providers in La Center, WA · Dental Hygienist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.