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KELLIE RENEE BERGENDAHL RDH
NPI 1053563619
Dental Hygienist in Plummer, ID

Active since October 15, 2008
427 12TH ST, PLUMMER, ID 83851(208) 686-1931(208) 686-5133 Get Directions Write a Review

NPPES record last updated: September 23, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kellie Renee Bergendahl Rdh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLIE RENEE BERGENDAHL RDH (NPI 1053563619) is an individual dental hygienist in Plummer, Idaho, licensed in Idaho (DH2335) and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1053563619
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameKELLIE RENEE BERGENDAHLCredential: RDH
Location Address427 12TH STPlummer, ID 83851-4000
Mailing AddressPo Box 994Coeur D Alene, ID 83816-0994 · (208) 625-0353
Phone(208) 686-1931
Fax(208) 686-5133
Sole ProprietorNo
Enumeration DateOctober 15, 2008
Last NPPES UpdateSeptember 23, 2019
✔ NPI 1053563619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License✔ Licensed in ID · DH2335
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
427 12TH ST, Plummer, ID 83851
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Other Names 1

Other Name (5)Ms. Kellie R. Mcneil Rdh

Other Identifiers 1

OtherRDH 20164CA · State License

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATELYN HAMMRICH PA
Physician Assistant
427 12TH ST
PLUMMER, ID 83851
Benewah County (208) 686-1931
MRS. JAMIE DEE SMITH LPC
Counselor (Addiction (Substance Use Disorder))
427 12TH ST
PLUMMER, ID 83851
Benewah County (208) 686-1931
MICHELLE KAY MOORE LPC
Counselor (Mental Health)
427 12TH ST
PLUMMER, ID 83851
Benewah County (208) 686-1931
JOHN BRONSELL RYAN BRONSELL PHARMD
Pharmacist (Ambulatory Care)
427 12TH ST
PLUMMER, ID 83851
Benewah County (208) 686-1931
EVAN SKAANES DDS
Dentist
427 12TH ST
PLUMMER, ID 83851
Benewah County (208) 686-1931
RACHEL CHISAUSKY DO
Family Medicine
427 12TH ST
PLUMMER, ID 83851
Benewah County (208) 686-1931
PENNY ANN SCZENSKI AGPCNP-BC
Family Medicine
427 12TH ST
PLUMMER, ID 83851
Benewah County (208) 686-1931
TONYA MARIE AMOUR-PATTON LMSW
Social Worker
427 12TH ST
PLUMMER, ID 83851
Benewah County (208) 686-1931

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kellie Bergendahl's NPI number?

The NPI number for Kellie Bergendahl is 1053563619. It was assigned to this individual provider in the NPPES registry on October 15, 2008. The provider is also known as Ms. Kellie R. Mcneil Rdh.

Where is Kellie Bergendahl located?

Kellie Bergendahl practices at 427 12th St, Plummer, ID 83851. The listed phone number is (208) 686-1931.

What is Kellie Bergendahl's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Kellie Bergendahl was last updated on September 23, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.