IndividualActive
Charlee Gann, RDH
NPI 1164896932 · Dental Hygienist · Mountain Grove, MO
Provider details
- NPI number
- 1164896932
- Entity type
- Individual
- Primary specialty
- Dental HygienistDental Providers
- Credential
- RDH
- Sex
- Female
- Sole proprietor
- No
- License
- 2015018842 (MO)
Specialties & taxonomies
Dental Providers
Practice location
1604 C North Main Street
Mountain Grove, MO 65711
Phone: (417) 926-1713
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1359
Ava, MO 65608-1359
Registry dates
- Enumerated
- 2015-11-17
- Last updated
- 2015-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.