NPI 1285529669
Courtney Pendergraft, RDH
Practice location
- Address
- 19600 E Ross St, Tahlequah, OK 74464-0545
- Phone
- (539) 234-2800
- Mailing address
- 4430 Highway 412, Rose, OK 74364-1677
Registered specialties
Dental Hygienist
Primary
Registry record
- NPI
- 1285529669
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 9 Jun 2025
- Record last updated
- 9 Jun 2025
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.