NICHOLETTE CONGDON
NPI 1417560608
Dental Hygienist in Flagstaff, AZ

Q: What is Nicholette Congdon's NPI number?

The NPI number for Nicholette Congdon is 1417560608. It was assigned to this individual provider in the NPPES registry on August 26, 2020.

Q: What is Nicholette Congdon's specialty?

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

Active since August 26, 2020

208 E KNOLES DRIVE, FLAGSTAFF, AZ 86011(928) 523-5122 Get Directions Write a Review

NPPES record last updated: August 26, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Nicholette Congdon NPPES

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

NICHOLETTE CONGDON (NPI 1417560608) is an individual dental hygienist in Flagstaff, Arizona and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1417560608

Entity TypeIndividualFemale

Primary Taxonomy124Q00000X

Provider Legal NameNICHOLETTE CONGDON

Location Address208 E KNOLES DRIVEFlagstaff, AZ 86011-0001

Mailing Address6369 W Potter DrGlendale, AZ 85308-6606

Phone(928) 523-5122

Sole ProprietorYes

Enumeration DateAugust 26, 2020

NPPES CertifiedAugust 26, 2020

✔ NPI 1417560608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers

Taxonomy Code124Q00000X

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.

208 E KNOLES DRIVE, Flagstaff, AZ 86011

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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 Nicholette Congdon's NPI number?

The NPI number for Nicholette Congdon is 1417560608. It was assigned to this individual provider in the NPPES registry on August 26, 2020.

Where is Nicholette Congdon located?

Nicholette Congdon practices at 208 E Knoles Drive, Flagstaff, AZ 86011. The listed phone number is (928) 523-5122.

What is Nicholette Congdon'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 Nicholette Congdon was last updated on August 26, 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.