National Provider Identifier

Lisa Hartman, RDH

Lisa Hartman, RDH is listed in the NPPES registry with a primary specialty of Dental Hygienist in Warsaw, NY and a listed phone number of (585) 637-3905.

NPI 1205261260Warsaw, NYDental Hygienist

Profile Overview

NPI
1205261260
Provider Type
Individual
Primary Specialty
Dental Hygienist
Enumeration Date
September 10, 2013
Last Updated
September 10, 2013

Practice Location

  • 81 S Main St
  • Warsaw, NY 14569

Phone: (585) 637-3905

Mailing Address

  • 300 West Ave
  • Brockport, NY 14420-1118

Specialties

  • Dental Hygienist (124Q00000X)
Full Record
NPI
1205261260
Entity Type
Individual
Last Name
Hartman
First Name
Lisa
Credential
RDH
Mailing Street Address
300 West Ave
Mailing City
Brockport
Mailing State
NY
Mailing ZIP Code
14420-1118
Mailing Country
US
Mailing Phone
(585) 637-3905
Mailing Fax
(585) 637-4990
Practice Street Address
81 S Main St
Practice City
Warsaw
Practice State
NY
Practice ZIP Code
14569
Practice Country
US
Practice Phone
(585) 637-3905
Practice Fax
(585) 637-4990
Enumeration Date
September 10, 2013
Last Updated
September 10, 2013
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Dental Hygienist (124Q00000X)
Other Identifiers
1598707812 (NY, Main NPI Of Group)