Provider Demographics
NPI:1568255685
Name:REPPE, EMILY A
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:A
Last Name:REPPE
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6019 NOBLE CT
Mailing Address - Street 2:
Mailing Address - City:WEST RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99353-7959
Mailing Address - Country:US
Mailing Address - Phone:509-378-0594
Mailing Address - Fax:
Practice Address - Street 1:6019 NOBLE CT
Practice Address - Street 2:
Practice Address - City:WEST RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99353-7959
Practice Address - Country:US
Practice Address - Phone:509-378-0594
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADH60986226124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist