Provider Demographics
NPI:1427790187
Name:NEVER SUMMER DENTAL HYGIENE
Entity type:Organization
Organization Name:NEVER SUMMER DENTAL HYGIENE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:ATENCIO
Authorized Official - Suffix:
Authorized Official - Credentials:RDH
Authorized Official - Phone:719-221-4386
Mailing Address - Street 1:PO BOX 224
Mailing Address - Street 2:
Mailing Address - City:WALDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80480-0224
Mailing Address - Country:US
Mailing Address - Phone:719-221-4386
Mailing Address - Fax:
Practice Address - Street 1:350 MCKINLEY ST.
Practice Address - Street 2:
Practice Address - City:WALDEN
Practice Address - State:CO
Practice Address - Zip Code:80480
Practice Address - Country:US
Practice Address - Phone:719-221-4386
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-12
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes124Q00000XDental ProvidersDental HygienistGroup - Single Specialty