1. Home
  2. Directory
  3. Illinois
  4. Lincoln
  5. Dental Hygienist
  6. NPI Profile

MRS. MARY ANN SOUTHERLAN RDH, PHDH
NPI 1235732579
Dental Hygienist in Lincoln, IL

Active since November 19, 2020

NPPES record last updated: November 19, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Mary Ann Southerlan Rdh, Phdh NPPES

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

MRS. MARY ANN SOUTHERLAN RDH, PHDH (NPI 1235732579) is an individual dental hygienist in Lincoln, Illinois, licensed in Illinois (020-004826) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1235732579
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameMRS. MARY ANN SOUTHERLANCredential: RDH, PHDH
Location Address109 3RD STLincoln, IL 62656-2604
Mailing Address109 3rd StLincoln, IL 62656-2604 · (217) 735-2317
Phone(217) 735-2317
Sole ProprietorNo
Enumeration DateNovember 19, 2020
NPPES CertifiedNovember 19, 2020
✔ NPI 1235732579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License✔ Licensed in IL · 020-004826
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.
109 3RD ST, Lincoln, IL 62656
Open in Google Maps ↗

Other Providers at the Same Location NPPES 9

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

COUNTY OF LOGAN
Public Health or Welfare
109 3RD ST
LINCOLN, IL 62656
Logan County (217) 735-2317
JESSICA ANN DEMARCO PA-C
Physician Assistant
109 3RD ST
LINCOLN, IL 62656
Logan County (217) 735-2317
JARED LUCAS ROLAND BHS,MPAS,PA-C
Physician Assistant
109 3RD ST
LINCOLN, IL 62656
Logan County (217) 735-2317
DANIELLE HERNAN
Community Health Worker
109 3RD ST
LINCOLN, IL 62656
Logan County (217) 735-2317
COUNTY OF LOGAN
Public Health or Welfare
109 3RD ST
LINCOLN, IL 62656
Logan County (217) 735-2317
CASSANDRA DAHM RDH
Dental Hygienist
109 3RD ST
LINCOLN, IL 62656
Logan County (217) 735-2317
DR. SHARON ELIZABETH MOLITORIS DDS
Dentist
109 3RD ST
LINCOLN, IL 62656
Logan County (217) 735-2317
BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY
Clinic/Center (Federally Qualified Health Center (FQHC))
109 3RD ST
LINCOLN, IL 62656
Logan County (217) 735-2317

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 Mary Southerlan's NPI number?

The NPI number for Mary Southerlan is 1235732579. It was assigned to this individual provider in the NPPES registry on November 19, 2020.

Where is Mary Southerlan located?

Mary Southerlan practices at 109 3rd St, Lincoln, IL 62656. The listed phone number is (217) 735-2317.

What is Mary Southerlan'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 Mary Southerlan was last updated on November 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.