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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KRISTY POLHEMUS

Active Sole Proprietor

KRISTY POLHEMUS is a Dental Assistant healthcare provider located in LAKE JACKSON, Texas. NPI 1184721276 is currently active in the NPPES registry. Verify at CMS.

Dental Assistant · LAKE JACKSON, TX

Registration Details

NPI Number
1184721276
Provider Type
Individual
Gender
Female
NPI Issued
Sep 20, 2006 (19.908568413435 yrs)
Last Updated
Jul 8, 2007
License
2067 (TX)
Sole Proprietor
Yes

Practice Information

Address
102 FLAG LAKE DR STE C
LAKE JACKSON, TX, 775666215
Browse TX providers · Browse ZIP 77566
Phone
9792971201
Fax
9792976226
Primary Specialty
Dental Assistant
126800000X

Other Dental Assistant Providers in LAKE JACKSON, TX

Name Credential NPI
JASMINE S HERNANDEZ 1154428233
MRS. KARA L RICE 1184721342
LINDA G LANE 1932206000
PAM A STONE 1356440895
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.