Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELISABETH KATHLEEN GOLTZ
ActiveDental Hygienist · IDAHO, ID
Registration Details
- NPI Number
- 1568187052
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 6, 2022 (3.5498862685404 yrs)
- Last Updated
- Oct 6, 2022
- License
-
DH-1771 (ID)
Practice Information
- Address
-
427 12TH STREETPLUMMERIDAHO, ID, 83851Browse ID providers · Browse ZIP 83851
- Phone
- 2086861931
- 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.