Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BROOKE MIDDENDORF, CDA
Active Sole ProprietorBROOKE MIDDENDORF, CDA is a Dental Assistant healthcare provider located in CLARENDON HILLS, Illinois. NPI 1346839263 is currently active in the NPPES registry. Verify at CMS.
Dental Assistant · CLARENDON HILLS, IL
Registration Details
- NPI Number
- 1346839263
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 14, 2021 (5.5984510028333 yrs)
- Last Updated
- Jan 14, 2021
- License
-
1179030 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
433 OGDEN AVECLARENDON HILLS, IL, 605142814Browse IL providers · Browse ZIP 60514
- Phone
- 6303208888
- Primary Specialty
-
Dental Assistant
126800000X
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.