Whalio Doctors

NPI 1073779542

Nicole Joy Glines

Practitioner Dental Hygienist Pine Ridge, SD

Practice location

Address
East Highway 18, Pine Ridge, SD 57770
Phone
(605) 867-3078
Mailing address
PO Box 1201, Pine Ridge, SD 57770-1201

Registered specialties

Dental Hygienist Primary
Dental Providers Taxonomy 124Q00000X Licence SD860 (SD)

Registry record

NPI
1073779542
Entity type
Individual
Sex (as registered)
Female
NPI issued
4 Aug 2008
Record last updated
4 Aug 2008

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.