Provider Demographics
NPI:1861115305
Name:COURTNEY DAWSON, RDHAP DENTAL HYGIENE PRACTICE, INC.
Entity type:Organization
Organization Name:COURTNEY DAWSON, RDHAP DENTAL HYGIENE PRACTICE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:DAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:RDHAP
Authorized Official - Phone:541-891-0708
Mailing Address - Street 1:1300 WEST ST STE 105
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-1692
Mailing Address - Country:US
Mailing Address - Phone:541-891-0708
Mailing Address - Fax:
Practice Address - Street 1:1300 WEST ST STE 105
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-1692
Practice Address - Country:US
Practice Address - Phone:541-891-0708
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-20
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes124Q00000XDental ProvidersDental HygienistGroup - Single Specialty