National Provider Identifier

Nichole Elizabeth Bedford, RDH

Nichole Elizabeth Bedford, RDH is listed in the NPPES registry with a primary specialty of Dental Hygienist in Brockport, NY and a listed phone number of (585) 637-3905.

NPI 1619170412Brockport, NYDental Hygienist

Profile Overview

NPI
1619170412
Provider Type
Individual
Primary Specialty
Dental Hygienist
Enumeration Date
June 08, 2007
Last Updated
July 08, 2007

Practice Location

  • 300 West Ave
  • Brockport, NY 14420-1118

Phone: (585) 637-3905

Mailing Address

  • 12987 Ridge RD W
  • Albion, NY 14411-9152

Specialties

  • Dental Hygienist (124Q00000X)
Full Record
NPI
1619170412
Entity Type
Individual
Last Name
Bedford
First Name
Nichole
Middle Name
Elizabeth
Name Prefix
MS.
Credential
RDH
Mailing Street Address
12987 Ridge RD W
Mailing City
Albion
Mailing State
NY
Mailing ZIP Code
14411-9152
Mailing Country
US
Mailing Phone
(585) 746-4677
Mailing Fax
(585) 637-4990
Practice Street Address
300 West Ave
Practice City
Brockport
Practice State
NY
Practice ZIP Code
14420-1118
Practice Country
US
Practice Phone
(585) 637-3905
Practice Fax
(585) 637-4990
Enumeration Date
June 08, 2007
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Dental Hygienist (124Q00000X)
Other Identifiers
00355308 (NY)