Gardner, Alyssa
Gardner, Alyssa is an individual health care provider with primary practice located at 26800 Summerdale Dr Bldg 3 , Southfield MI 48033-2233. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Gardner, Alyssa can be contacted via phone (248) 986-0881.Contact Information
Primary practice address
26800 Summerdale Dr Bldg 3
Southfield MI 48033-2233
Phone: (248) 986-0881
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 2902018762 | Michigan |
Profile Details
| NPI number | 1154091668 |
|---|---|
| LBN Legal business name | Gardner, Alyssa |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2021 |
| Last updated | Sep 16th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154091668 | NPPES |
| Michigan | MEDICAID | 02231991 |
Popular Providers
-
Witherspoon, Rachel Lynn
Commanding Officer Us Naval Hospital Attn. Dental Clinic, Fpo AE 09589-1000 -
Moreno, Joe
202 Pomfret St , Putnam CT 06260-1833 -
Vanbeck, Cheryl Lynne
2000 Town Ctr Suite 1900, Southfield MI 48075-1135 -
Alexander, Deanna
28408 Brentwood St , Southfield MI 48076-3004 -
Roberson, Nekeia Remoan
Bldg. 277 Code 100D Naval Medical Center Portsmouth - N, Portsmouth VA 23709 -
Rogers, Denise
982 E Main St , Bridgeport CT 06608-1913 -
Ellis-Crenshaw, Irice
17344 W 12 Mile Rd Ste 201 , Southfield MI 48076-6321 -
Wilson, Jack Anthony
2654 Stacey Way , National City CA 91950-7760