Marie L Hustafa in Durango - Dental Hygienist

Marie L Hustafa - NPI 1073669073

Marie L Hustafa is a Dental Hygienist in Durango, Colorado. Marie L Hustafa practices all healthcare services and medical treatments related to Dental Hygienist. The NPI Number for Marie L Hustafa is 1073669073. The last update date is 2007-07-09.

Marie L Hustafa's current location address is Po Box 140, Durango, Colorado. You can contact this provider via phone number 9702475702 and fax number 9702479126. The mailing address for Marie L Hustafa is Po Box 140, Durango, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Marie L Hustafa
Address Po Box 140, Durango, Colorado
Phone Number 9702475702
Fax Number 9702479126
Sole Proprietor Y
Credentials RDH

NPI Number Detail

NPI Number 1073669073
Provider Enumeration Date 2007-01-25
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address Po Box 140
City Durango
State Colorado (CO)
Post Code 813020140
Phone Number 9702475702
Fax Number 9702479126

Provider's Primary Taxonomy Detail

Speciality Dental Hygienist
Taxonomy 124Q00000X
Licence No 904555
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
80528201 CO --

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FAQs about Marie L Hustafa

What is the unique identification code assigned to Marie L Hustafa by the Centers for Medicare & Medicaid Services?

The Marie L Hustafa has been issued the NPI (National Provider Identifier) 1073669073. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Marie L Hustafa's facilities are situated?

The facilities of Marie L Hustafa are physically located at the following address: Po Box 140, Durango, CO, 813020140.

What is Marie L Hustafa's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Marie L Hustafa is Dental Hygienist, and the corresponding taxonomy classification code for this specialized field is 124Q00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1073669073 to Marie L Hustafa?

The Centers for Medicare & Medicaid Services originally issued the 1073669073 to Marie L Hustafa on 2007-01-25.

When was the information regarding Marie L Hustafa most recently updated?

The details pertaining to the Marie L Hustafa, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.

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