IndividualActive
Angela Faurot
NPI 1720532104 · Dental Hygienist · Columbia, MO
Provider details
- NPI number
- 1720532104
- Entity type
- Individual
- Primary specialty
- Dental HygienistDental Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2011026240 (MO)
Specialties & taxonomies
Dental Providers
Practice location
4001 Pine View Dr
Columbia, MO 65202-4209
Phone: (578) 358-2123
Approximate (ZIP-level) locationGet directions
Mailing address
4001 Pine View Dr
Columbia, MO 65202-4209
Registry dates
- Enumerated
- 2016-08-15
- Last updated
- 2017-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.