NPI 1265168769

Mariessa Lorae Orso, RDH

Practitioner Dental Hygienist Carbondale, IL

Practice location

Address: 402 S Lewis Ln, Carbondale, IL 62901-3547
Phone: (618) 519-9200
Mailing address: 109 California St PO Box 577, Carterville, IL 62918

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 020.011952 (IL)

Other Dental Hygienist providers in Illinois →

Registry record

NPI: 1265168769
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jul 2022
Record last updated: 27 Jul 2022

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.