Provider Demographics
NPI:1114228541
Name:DAVLIN-SPRINGER, CHERYL (RDH)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:
Last Name:DAVLIN-SPRINGER
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37308 US HIGHWAY 34
Mailing Address - Street 2:
Mailing Address - City:CULBERTSON
Mailing Address - State:NE
Mailing Address - Zip Code:69024-8270
Mailing Address - Country:US
Mailing Address - Phone:308-278-2539
Mailing Address - Fax:
Practice Address - Street 1:37308 US HIGHWAY 34
Practice Address - Street 2:
Practice Address - City:CULBERTSON
Practice Address - State:NE
Practice Address - Zip Code:69024-8270
Practice Address - Country:US
Practice Address - Phone:308-278-2539
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-17
Last Update Date:2010-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1034124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist