AUTUMN ROSE VANGENNIP RDH
NPI 1609295674
Dental Hygienist in Cape Girardeau, MO

Q: What is Autumn Vangennip's NPI number?

The NPI number for Autumn Vangennip is 1609295674. It was assigned to this individual provider in the NPPES registry on April 7, 2014.

Q: What is Autumn Vangennip's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Autumn Vangennip was last updated on April 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since April 07, 2014

408 S BROADVIEW ST, CAPE GIRARDEAU, MO 63703(573) 332-0808(573) 339-7945 Get Directions Write a Review

NPPES record last updated: April 7, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Autumn Rose Vangennip Rdh NPPES

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

AUTUMN ROSE VANGENNIP RDH (NPI 1609295674) is an individual dental hygienist in Cape Girardeau, Missouri, licensed in Missouri (2011017963) and active in the NPI registry since April 2014.

NPPES Registry Identity

NPI1609295674

Entity TypeIndividualFemale

Primary Taxonomy124Q00000X

Provider Legal NameAUTUMN ROSE VANGENNIPCredential: RDH

Location Address408 S BROADVIEW STCape Girardeau, MO 63703-5725

Mailing Address408 S Broadview StCape Girardeau, MO 63703-5725 · (573) 382-2127 · Fax (573) 339-7945

Phone(573) 332-0808

Fax(573) 339-7945

Sole ProprietorNo

Enumeration DateApril 7, 2014

✔ NPI 1609295674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers

Taxonomy Code124Q00000X

License✔ Licensed in MO · 2011017963

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.

408 S BROADVIEW ST, Cape Girardeau, MO 63703

Open in Google Maps ↗

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.

CHARLENE L MINTON DMD

Dentist