NPI 1124476148

Alyssa Higgins

Practitioner Dental Hygienist Bloomington, IL

Practice location

Address: 1407 N Veterans Pkwy Suite 12, Bloomington, IL 61704-6630
Phone: (309) 661-2999
Mailing address: 901 Sheridan St, Chenoa, IL 61726-1442

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 020.014749 (IL)

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Registry record

NPI: 1124476148
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 May 2016
Record last updated: 31 May 2016

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.