IndividualActive
Michelle Sullivan
NPI 1780338459 · Dental Hygienist · Bettendorf, IA
Provider details
- NPI number
- 1780338459
- Entity type
- Individual
- Primary specialty
- Dental HygienistDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RDH-04675 (IA)
Specialties & taxonomies
Dental Providers
Practice location
3625 Utica Ridge Rd Ste C
Bettendorf, IA 52722-1653
Phone: (563) 259-6040
Approximate (ZIP-level) locationGet directions
Mailing address
3625 Utica Ridge Rd Ste C
Bettendorf, IA 52722-1653
Registry dates
- Enumerated
- 2022-02-10
- Last updated
- 2022-02-10
- Certified
- 2022-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.