IndividualActive
Dawn Southerly, RDH
NPI 1093567075 · Dental Hygienist · Middletown, VA
Provider details
- NPI number
- 1093567075
- Entity type
- Individual
- Primary specialty
- Dental HygienistDental Providers
- Credential
- RDH
- Sex
- Female
- Sole proprietor
- No
- License
- 0402001943 (VA)
Specialties & taxonomies
Dental Providers
Practice location
173 Skirmisher Ln
Middletown, VA 22645-1745
Phone: (703) 969-1360
Approximate (ZIP-level) locationGet directions
Mailing address
170 Thurston Ct
Clear Brook, VA 22624-1673
Registry dates
- Enumerated
- 2024-04-03
- Last updated
- 2024-04-03
- Certified
- 2024-04-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.