Kellie Renee Bergendahl is a Plummer, Idaho based Hygienist who is specialized as Oral Hygienist. Active license number of Kellie Renee Bergendahl is DH2335 for Oral Hygienist in Idaho. Her current practice location is 427 12th St, Plummer. Patients can reach her at 208-686-1931. Kellie Renee Bergendahl has completed an accredited dental hygiene education program, and has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions of dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
Complete Profile:
Kellie Renee Bergendahl speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Kellie Renee Bergendahl
Specialization:
Hygienist
Gender:
Female
Credentials:
RDH (Registered Dental Hygienist)
Practice Address:
427 12th St, Plummer, Idaho, 83851-4000
Phone:
208-686-1931
Fax:
208-686-5133
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1053563619
NPI Enumeration Date:
15 Oct, 2008
NPI Last Update On:
23 Sep, 2019
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kellie Renee Bergendahl are as mentioned below.
License Number
Specialization
State
Status
DH2335
Oral Hygienist
Idaho
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Kellie Renee Bergendahl such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
RDH 20164
Other
California
STATE LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 994, Coeur D Alene, Idaho
Zip:
83816-0994
Phone Number:
208-625-0353
Patients can reach Kellie Renee Bergendahl at 427 12th St, Plummer, Idaho or can call to book an appointment on 208-686-1931. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.