Search › Idaho › Dental Hygienist
Kellie Bergendahl, RDH
NPI 1053563619 · on the registry since 2008
Practice
- Address
- 427 12th St
Plummer, ID 83851 - Phone
- (208) 686-1931
- Fax
- (208) 686-5133
- Organisation at this address
- Benewah Medical Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 25
Registry record
- Primary taxonomy
- Dental Hygienist
124Q00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-09-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho