Provider Demographics
NPI:1922764836
Name:DUNKLE, KAYLEE NICHOLE (PHDHP, RDH)
Entity Type:Individual
Prefix:
First Name:KAYLEE
Middle Name:NICHOLE
Last Name:DUNKLE
Suffix:
Gender:F
Credentials:PHDHP, RDH
Other - Prefix:
Other - First Name:KAYLEE
Other - Middle Name:NICHOLE
Other - Last Name:EMERICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 706
Mailing Address - Street 2:
Mailing Address - City:HYNDMAN
Mailing Address - State:PA
Mailing Address - Zip Code:15545-0706
Mailing Address - Country:US
Mailing Address - Phone:814-842-3206
Mailing Address - Fax:814-842-3746
Practice Address - Street 1:104 RAILROAD ST
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:PA
Practice Address - Zip Code:15522-1013
Practice Address - Country:US
Practice Address - Phone:814-263-5804
Practice Address - Fax:814-310-2536
Is Sole Proprietor?:No
Enumeration Date:2021-11-15
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADH073653124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist