NPI 1194801233

Julie D. Surber, RDH

Practitioner Dental Hygienist Gosport, IN

Practice location

Address: 10 E. Main St., Gosport, IN 47433-0189
Phone: (812) 879-4216
Fax: (812) 879-4209
Mailing address: PO Box 189, Gosport, IN 47433-0189

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 13005554A (IN)

Other Dental Hygienist providers in Indiana →

Registry record

NPI: 1194801233
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Oct 2006
Record last updated: 8 Jul 2007

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.