Johanne Lutter in Southington - Dental Hygienist
Johanne Lutter - NPI 1861473043
Johanne Lutter is a Dental Hygienist in Southington, Connecticut. Johanne Lutter practices all healthcare services and medical treatments related to Dental Hygienist. The NPI Number for Johanne Lutter is 1861473043. The last update date is 2012-02-15.
Johanne Lutter's current location address is 2279 Mount Vernon Rd, Southington, Connecticut. You can contact this provider via phone number 8604260467. The mailing address for Johanne Lutter is 2279 Mount Vernon Rd, Southington, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Johanne Lutter |
|---|---|
| Address | 2279 Mount Vernon Rd, Southington, Connecticut |
| Phone Number | 8604260467 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RDH |
NPI Number Detail
| NPI Number | 1861473043 |
|---|---|
| Provider Enumeration Date | 2005-11-07 |
| Last Updated Date | 2012-02-15 |
Provider Mailing Address Detail
| Address | 2279 Mount Vernon Rd |
|---|---|
| City | Southington |
| State | Connecticut (CT) |
| Post Code | 64891007 |
| Phone Number | 8604260467 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dental Hygienist |
|---|---|
| Taxonomy | 124Q00000X |
| Licence No | 6468 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4236354 | CT | -- |
Post Comment/ Review Below
What is the Johanne Lutter's 1861473043?
The Johanne Lutter's NPI (National Provider Identifier) Number is 1861473043. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Johanne Lutter located?
The Johanne Lutter is located at 2279 Mount Vernon Rd, Southington, CT 64891007.
What is the Johanne Lutter's specialty and taxonomy code?
The Johanne Lutter's specialty is Dental Hygienist, and the corresponding taxonomy code is 124Q00000X.
On what date did the Johanne Lutter receive the assignment of its 1861473043 from the Centers for Medicare & Medicaid Services?
The Johanne Lutter was issued its 1861473043 by the Centers for Medicare & Medicaid Services on 2005-11-07.
As of what date were the details pertaining to Johanne Lutter last refreshed?
The information related to the Johanne Lutter, including its address, specialty, and other relevant details, was last updated on 2012-02-15.