NPI 1013778182

Amanda Jo Musson, DENTALHYGIENE

Practitioner Dental Hygienist Bloomington, IL

Practice location

Address: 720 W Chestnut St, Bloomington, IL 61701-2814
Phone: (309) 557-1400
Mailing address: 448 Wylie Dr, Normal, IL 61761-5405

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 020.011459 (IL)

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Registry record

NPI: 1013778182
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jan 2024
Record last updated: 17 Jan 2024

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.