Nicolette Marie Moultrie in Martinez - Dental Hygienist
Nicolette Marie Moultrie - NPI 1912185851
Nicolette Marie Moultrie is a Dental Hygienist in Martinez, California. Nicolette Marie Moultrie practices all healthcare services and medical treatments related to Dental Hygienist. The NPI Number for Nicolette Marie Moultrie is 1912185851. The last update date is 2021-02-01.
Nicolette Marie Moultrie's current location address is 1827 Pacheco Blvd, Martinez, California. You can contact this provider via phone number 9253006579 and fax number 9257988411. The mailing address for Nicolette Marie Moultrie is 1827 Pacheco Blvd, Martinez, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nicolette Marie Moultrie |
|---|---|
| Address | 1827 Pacheco Blvd, Martinez, California |
| Phone Number | 9253006579 |
| Fax Number | 9257988411 |
| Sole Proprietor | Y |
| Credentials | RDHAP |
NPI Number Detail
| NPI Number | 1912185851 |
|---|---|
| Provider Enumeration Date | 2008-02-01 |
| Last Updated Date | 2021-02-01 |
Provider Mailing Address Detail
| Address | 1827 Pacheco Blvd |
|---|---|
| City | Martinez |
| State | California (CA) |
| Post Code | 945531940 |
| Phone Number | 9253006579 |
| Fax Number | 9257988411 |
Provider's Primary Taxonomy Detail
| Speciality | Dental Hygienist |
|---|---|
| Taxonomy | 124Q00000X |
| Licence No | 174 |
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Definition: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Nicolette Marie Moultrie by the Centers for Medicare & Medicaid Services?
The Nicolette Marie Moultrie has been issued the NPI (National Provider Identifier) 1912185851 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Nicolette Marie Moultrie's physical address?
The Nicolette Marie Moultrie is physically located at 1827 Pacheco Blvd, in the city of Martinez, CA, with the postal code 945531940.
What is Nicolette Marie Moultrie's specialized field of practice, and what is the corresponding taxonomy classification code?
The Nicolette Marie Moultrie's area of specialization is Dental Hygienist, and the corresponding taxonomy code that categorizes this field of practice is 124Q00000X.
On what date did the Nicolette Marie Moultrie receive the assignment of its 1912185851 from the Centers for Medicare & Medicaid Services?
The Nicolette Marie Moultrie was issued its 1912185851 by the Centers for Medicare & Medicaid Services on 2008-02-01.
When was the information related to Nicolette Marie Moultrie most recently updated or refreshed?
The details pertaining to the Nicolette Marie Moultrie, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-02-01.