IndividualActive
Ashtyn Rennels
NPI 1992589667 · Dental Hygienist · Champaign, IL
Provider details
- NPI number
- 1992589667
- Entity type
- Individual
- Primary specialty
- Dental HygienistDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 020014012 (IL)
Mailing address
1202 Myrtle Beach Ave Apt 103
Champaign, IL 61822-2436
Registry dates
- Enumerated
- 2023-08-23
- Last updated
- 2023-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.