Sharon K Kettler in Prior Lake - Dental Hygienist
Sharon K Kettler - NPI 1083628515
Sharon K Kettler is a Dental Hygienist in Prior Lake, Minnesota. Sharon K Kettler practices all healthcare services and medical treatments related to Dental Hygienist. The NPI Number for Sharon K Kettler is 1083628515. The last update date is 2007-07-08.
Sharon K Kettler's current location address is 2330 Sioux Trl Nw, Prior Lake, Minnesota. You can contact this provider via phone number 9524966148 and fax number 9522334224. The mailing address for Sharon K Kettler is 2330 Sioux Trl Nw, Prior Lake, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sharon K Kettler |
|---|---|
| Address | 2330 Sioux Trl Nw, Prior Lake, Minnesota |
| Phone Number | 9524966148 |
| Fax Number | 9522334224 |
| Sole Proprietor | N |
| Credentials | RDH |
NPI Number Detail
| NPI Number | 1083628515 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2330 Sioux Trl Nw |
|---|---|
| City | Prior Lake |
| State | Minnesota (MN) |
| Post Code | 553729077 |
| Phone Number | 9524966148 |
| Fax Number | 9522334224 |
Provider's Primary Taxonomy Detail
| Speciality | Dental Hygienist |
|---|---|
| Taxonomy | 124Q00000X |
| Licence No | H5650 |
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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 identifier code issued to Sharon K Kettler by the Centers for Medicare & Medicaid Services (CMS)?
The Sharon K Kettler has been assigned the NPI (National Provider Identifier) 1083628515. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Sharon K Kettler is physically located?
The Sharon K Kettler is physically situated at the following address: 2330 Sioux Trl Nw, Prior Lake, MN, 553729077.
What is Sharon K Kettler's area of expertise and its corresponding taxonomy classification?
The Sharon K Kettler's field of specialization is Dental Hygienist, and it falls under the taxonomy code 124Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1083628515 to Sharon K Kettler?
The Sharon K Kettler received its 1083628515 assignment from the Centers for Medicare & Medicaid Services on 2006-07-28.
When was the Sharon K Kettler's information last updated?
The Sharon K Kettler's information was last updated on 2007-07-08.
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