Provider Demographics
NPI:1619104387
Name:TURNER, JANICE R (RDH)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:R
Last Name:TURNER
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 1:22205 N MEADOWVIEW DR
Mailing Address - Street 2:
Mailing Address - City:COLBERT
Mailing Address - State:WA
Mailing Address - Zip Code:99005-9477
Mailing Address - Country:US
Mailing Address - Phone:509-467-2178
Mailing Address - Fax:
Practice Address - Street 1:22205 N MEADOWVIEW DR
Practice Address - Street 2:
Practice Address - City:COLBERT
Practice Address - State:WA
Practice Address - Zip Code:99005-9477
Practice Address - Country:US
Practice Address - Phone:509-467-2178
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-19
Last Update Date:2009-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADH00004525124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist