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NPI 1609295674

IndividualActive

Autumn Vangennip, RDH

NPI 1609295674 · Dental Hygienist · Cape Girardeau, MO

Provider details

NPI number: 1609295674
Entity type: Individual
Primary specialty: Dental HygienistDental Providers
Credential: RDH
Sex: Female
Sole proprietor: No
License: 2011017963 (MO)

Practice location

408 S Broadview St

Cape Girardeau, MO 63703-5725

Phone: (573) 332-0808

Fax: (573) 339-7945

More MO providers

Mailing address

408 S Broadview St

Cape Girardeau, MO 63703-5725

Registry dates

Enumerated: 2014-04-07
Last updated: 2014-04-07

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Autumn Vangennip, RDH — NPI 1609295674, Cape Girardeau, MO | NPI Central