Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. ELISA DACK, RDH
Active Sole ProprietorMRS. ELISA DACK, RDH is a Dental Hygienist healthcare provider located in WEST BRANCH, Michigan. NPI 1508579384 is currently active in the NPPES registry. Verify at CMS.
Dental Hygienist · WEST BRANCH, MI
Registration Details
- NPI Number
- 1508579384
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 27, 2022 (3.6209618086984 yrs)
- Last Updated
- Dec 27, 2022
- License
-
2902012908 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
630 PROGRESS STWEST BRANCH, MI, 486618603Browse MI providers · Browse ZIP 48661
- Phone
- 9893455020
- Primary Specialty
-
Dental Hygienist
124Q00000X
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.