IndividualActive
Crismon Joseph
NPI 1477010213 · Dental Hygienist · Rochester, MN
Provider details
- NPI number
- 1477010213
- Entity type
- Individual
- Primary specialty
- Dental HygienistDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- H10624 (MN)
Specialties & taxonomies
Dental Providers
Practice location
903 W Center St Ste 130
Rochester, MN 55902-6278
Phone: (507) 529-0436
Approximate (ZIP-level) locationGet directions
Mailing address
14500 34th Ave N Apt 208
Plymouth, MN 55447-5215
Registry dates
- Enumerated
- 2019-02-28
- Last updated
- 2019-02-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.