NPI 1811420888

Michelle Young, RDH

Practitioner Dental Hygienist Fordland, MO

Practice location

Address: 1059 Barton Dr, Fordland, MO 65652-7350
Phone: (417) 767-2100

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 2005019247 (MO)

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Registry record

NPI: 1811420888
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Apr 2017
Record last updated: 6 Apr 2017

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.