NPI 1013506591
Elevate Dental Hygiene LLC
Practice location
- Address
- 630 Sun Valley Road Suite D102, Ketchum, ID 83340
- Phone
- (208) 731-8723
- Mailing address
- 721 Northstar Dr, Hailey, ID 83333-8501
Authorised official
- Name
- Michelle Watkins
- Title
- Owner
- Phone
- (208) 731-8723
Registered specialties
Dental Hygienist
Primary
Registry record
- NPI
- 1013506591
- Entity type
- Organization
- NPI issued
- 11 Jan 2021
- Record last updated
- 11 Jan 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.