Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AUTUMN TATMAN
Active Sole ProprietorDental Hygienist · CHAMPAIGN, IL
Registration Details
- NPI Number
- 1487389581
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 21, 2022 (3.761393315004 yrs)
- Last Updated
- Jul 21, 2022
- License
-
020.015266 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
201 W KENYON RDCHAMPAIGN, IL, 618207892Browse IL providers · Browse ZIP 61820
- Phone
- 2175314279
- Primary Specialty
-
Dental Hygienist
124Q00000X
Other Dental Hygienist Providers in CHAMPAIGN, IL
| Name | Credential | NPI |
|---|---|---|
| GINA L FOSTER | B.S. R.D.H. P.H.D.H. | 1851997498 |
| JENNIFER LYNN BOYD | RDH | 1215662275 |
| LINDY LEE CASH | — | 1679201461 |
| MRS. MICHELLE LEE CORDES | PHDH | 1265160634 |
| MRS. JENNIFER MARIE JACKSON | RDH | 1831884931 |
| ASHTYN RENNELS | — | 1992589667 |
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.