Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. NELLY GUTIERREZ, DENTAL ASSISTANTEFDA
Active Sole ProprietorMRS. NELLY GUTIERREZ, DENTAL ASSISTANTEFDA is a Dental Assistant healthcare provider located in FORT DRUM, New York. NPI 1114376803 is currently active in the NPPES registry. Verify at CMS.
Dental Assistant · FORT DRUM, NY
Registration Details
- NPI Number
- 1114376803
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 3, 2016 (10.01124261187 yrs)
- Last Updated
- Jun 3, 2016
- Sole Proprietor
- Yes
Practice Information
- Address
-
10590 ENDURING FREEDOM DRFORT DRUM, NY, 136025005Browse NY providers · Browse ZIP 13602
- Phone
- 3157726234
- Primary Specialty
-
Dental Assistant
126800000X
Other Dental Assistant Providers in FORT DRUM, NY
| Name | Credential | NPI |
|---|---|---|
| MRS. JULIE WAINWRIGHT | DENTAL ASSISTANTEFDA | 1841649530 |
| JONATHAN SMITH | DENTAL ASSISTANT X2 | 1669821351 |
| DWAYNE TRINIDAD | DENTAL ASSISTANT X2 | 1790134492 |
| MRS. MARY BICE | DENTALASSISTANT EFDA | 1033568720 |
| MS. LINDA COX | DENTAL ASSISTANTEFDA | 1851740542 |
| SUE RANDALL-SCHNEEBELI | DENTAL ASSISTANTEFDA | 1427407121 |
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.