Whalio Doctors

NPI 1619170412

Nichole Elizabeth Bedford, RDH

Practitioner Dental Hygienist Brockport, NY

Practice location

Address
300 West Ave, Brockport, NY 14420-1118
Phone
(585) 637-3905
Fax
(585) 637-4990
Mailing address
12987 Ridge Rd W, Albion, NY 14411-9152

Registered specialties

Dental Hygienist Primary
Dental Providers Taxonomy 124Q00000X Licence 024736 (NY)

Registry record

NPI
1619170412
Entity type
Individual
Sex (as registered)
Female
NPI issued
8 Jun 2007
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.