Linda Jean Bergdahl in Erie - Dental Hygienist
Linda Jean Bergdahl - NPI 1063692390
Linda Jean Bergdahl is a Dental Hygienist in Erie, Pennsylvania. Linda Jean Bergdahl practices all healthcare services and medical treatments related to Dental Hygienist. The NPI Number for Linda Jean Bergdahl is 1063692390. The last update date is 2007-11-03.
Linda Jean Bergdahl's current location address is Po Box 369, Erie, Pennsylvania. You can contact this provider via phone number 8144544530 and fax number 8144562375. The mailing address for Linda Jean Bergdahl is Po Box 369, Erie, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Linda Jean Bergdahl |
|---|---|
| Address | Po Box 369, Erie, Pennsylvania |
| Phone Number | 8144544530 |
| Fax Number | 8144562375 |
| Sole Proprietor | N |
| Credentials | RDH |
NPI Number Detail
| NPI Number | 1063692390 |
|---|---|
| Provider Enumeration Date | 2007-11-03 |
| Last Updated Date | 2007-11-03 |
Provider Mailing Address Detail
| Address | Po Box 369 |
|---|---|
| City | Erie |
| State | Pennsylvania (PA) |
| Post Code | 165120369 |
| Phone Number | 8144544530 |
| Fax Number | 8144562375 |
Provider's Primary Taxonomy Detail
| Speciality | Dental Hygienist |
|---|---|
| Taxonomy | 124Q00000X |
| Licence No | DH004871L |
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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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What is the unique identifier code issued to Linda Jean Bergdahl by the Centers for Medicare & Medicaid Services?
The Linda Jean Bergdahl has been assigned the NPI (National Provider Identifier) 1063692390. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Linda Jean Bergdahl is located?
The Linda Jean Bergdahl is situated at the following address: Po Box 369, Erie, PA, 165120369.
What is Linda Jean Bergdahl's specialized field of practice, and what is the corresponding taxonomy classification code?
The Linda Jean Bergdahl's area of specialization is Dental Hygienist, and the corresponding taxonomy code that categorizes this field of practice is 124Q00000X.
On what date was the 1063692390 assigned to Linda Jean Bergdahl?
The Linda Jean Bergdahl was issued its 1063692390 on 2007-11-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Linda Jean Bergdahl most recently updated or revised?
The information pertaining to Linda Jean Bergdahl, including its address, specialty, and other relevant details, was last updated or revised on 2007-11-03.
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