Nicole Joy Glines
Dental Hygienist
East Highway 18
Pine Ridge
, South Dakota 57770
Nicole Joy Glines
Dental Hygienist
East Highway 18
Pine Ridge
, South Dakota 57770
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About
Features
Specialties
- Dental Hygienist
Languages spoken
- English
Location
First Address
- Nicole Joy Glines
- Po Box 1201
- Pine Ridge, SD
- Zip : 57770-1201
- Phone :
Second Address
- Nicole Joy Glines
- East Highway 18
- Pine Ridge, SD
- Zip : 57770
- Phone : (605) 867-3078
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | SD860 | SD |
National Provider Identifier
| NPI | 1073779542 |
|---|---|
| Provider Name | Nicole Joy Glines |
| First Address | Pine Ridge, SD 57770-1201 |
| Second Address | Pine Ridge, SD 57770 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/08/2008 |
| Last Update Date | 04/08/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.