Oral Health Impact

NPI #1912252214 in Bertrand, Nebraska

Provider Information

NPI Number: 1912252214
Entity Type: Organization
Organization Name: Oral Health Impact
Primary Specialty: Dental Hygienist
Enumeration Date: Jul 23, 2012
Last Updated: Aug 4, 2012

Practice Location

Address: 408 MONTROSE AVE
City: Bertrand
State: Nebraska
ZIP Code: 68927-3801
Phone: (402) 984-7276

Authorized Official

Name: ROXANNE DENNY-MICKEY, R.D.H., P.H.R.D.H
Title: PRESIDENT/ MANAGING MEMBER
Phone: (402) 984-7276

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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