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MS. HOLLY ANN DAVERIN RDH
NPI 1245501808
Dental Hygienist in Fort Washakie, WY

Active since January 13, 2012
29 BLACK COAL DRIVE, FORT WASHAKIE DENTAL CLINIC, FORT WASHAKIE, WY 82514(307) 332-7300 Get Directions Write a Review

NPPES record last updated: January 13, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Holly Ann Daverin Rdh NPPES

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

MS. HOLLY ANN DAVERIN RDH (NPI 1245501808) is an individual dental hygienist in Fort Washakie, Wyoming, licensed in Oregon (H6127) and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1245501808
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameMS. HOLLY ANN DAVERINCredential: RDH
Location Address29 BLACK COAL DRIVE, FORT WASHAKIE DENTAL CLINICFort Washakie, WY 82514-0128
Mailing Address11102 W 4000n RdBonfield, IL 60913-7171 · (815) 922-7682
Phone(307) 332-7300
Sole ProprietorYes
Enumeration DateJanuary 13, 2012
✔ NPI 1245501808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License✔ Licensed in OR · H6127
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.
29 BLACK COAL DRIVE, Fort Washakie, WY 82514
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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.

CHRISTINE AMY NIEDO R.N.
Registered Nurse
29 BLACK COAL DRIVE
FORT WASHAKIE, WY 82514
Fremont County (307) 335-5989
MS. JOLYNN RENEE DAVIS R.N.
Registered Nurse
29 BLACK COAL DRIVE
FORT WASHAKIE, WY 82514
Fremont County (307) 335-5963
CHARLOTTE D JENSEN R.N.
Registered Nurse
29 BLACK COAL DRIVE
FORT WASHAKIE, WY 82514
Fremont County (307) 332-7300
LEILANI J YOUNKIN CLIN. LAB SCIENTIST
Specialist/Technologist, Pathology (Medical Technologist)
29 BLACK COAL DRIVE
FT WASHAKIE, WY 82514
Fremont County (307) 332-7692
LUKE STRINGHAM RPH
Pharmacist
29 BLACK COAL DRIVE
FORT WASHAKIE, WY 82514
Fremont County (307) 332-7300
JANICE C ROMAN R.N.
Registered Nurse (Community Health)
29 BLACK COAL DRIVE, 29 BLACK COAL DRIVE
FORT WASHAKIE, WY 82514
Fremont County (307) 332-3521
DAVID THATCH MT
Specialist/Technologist, Pathology (Medical Technologist)
29 BLACK COAL DRIVE
FORT WASHAKIE, WY 82514
Fremont County (307) 332-7300
DR. JEREMY C NORTON DNP
Nurse Practitioner (Family)
29 BLACK COAL DRIVE
FORT WASHAKIE, WY 82514
Fremont County (307) 332-7300

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 Holly Daverin's NPI number?

The NPI number for Holly Daverin is 1245501808. It was assigned to this individual provider in the NPPES registry on January 13, 2012.

Where is Holly Daverin located?

Holly Daverin practices at 29 Black Coal Drive Fort Washakie Dental Clinic, Fort Washakie, WY 82514. The listed phone number is (307) 332-7300.

What is Holly Daverin'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 Holly Daverin was last updated on January 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.