IndividualActive
Cassie Boultinghouse, RDH
NPI 1962211482 · Dental Hygienist · Nevada, MO
Provider details
- NPI number
- 1962211482
- Entity type
- Individual
- Primary specialty
- Dental HygienistDental Providers
- Credential
- RDH
- Sex
- Female
- Sole proprietor
- No
- License
- 2006018226 (MO)
Specialties & taxonomies
Dental Providers
Practice location
301 W Austin Blvd
Nevada, MO 64772-3124
Phone: (844) 853-8937
Approximate (ZIP-level) locationGet directions
Mailing address
1800 Community
Clinton, MO 64735-8804
Registry dates
- Enumerated
- 2024-12-31
- Last updated
- 2024-12-31
- Certified
- 2024-12-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.