Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLIE RENEE BERGENDAHL, RDH
ActiveDental Hygienist · PLUMMER, ID
Registration Details
- NPI Number
- 1053563619
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 15, 2008 (17.525538965798 yrs)
- Last Updated
- Sep 23, 2019
- License
-
DH2335 (ID)
Practice Information
- Address
-
427 12TH STPLUMMER, ID, 838514000Browse ID providers · Browse ZIP 83851
- Phone
- 2086861931
- Fax
- 2086865133
- Primary Specialty
-
Dental Hygienist
124Q00000X
Other Dental Hygienist Providers in PLUMMER, ID
| Name | Credential | NPI |
|---|---|---|
| MRS. CATHLEEN L LAPLANTE | RDH | 1447231303 |
| KIMBERLEY DAWN LEGASPI | RDH | 1225244551 |
| CATHLEEN CONSTANCE BOURQUE | RDH | 1922739747 |
| MRS. CONNIE SHRYOCK | — | 1376327767 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.