NPI 1568106524

Madison Nicole Thomas, RDH

Practitioner Dental Hygienist Enterprise, AL

Practice location

Address: 104 Planters CT, Enterprise, AL 36330-8581
Phone: (417) 496-5879
Mailing address: 3455 S Kings Ave, Springfield, MO 65807-5119

Registered specialties (2)

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 2020016233 (MO)

Other Dental Hygienist providers in Alabama →

Dental Hygienist

Dental Providers Taxonomy 124Q00000X Licence H-0009209-C1 (AL)

Registry record

NPI: 1568106524
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Apr 2022
Record last updated: 26 Apr 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.