Provider Demographics
NPI:1881936417
Name:POESCHL, TOBIE LYNN
Entity type:Individual
Prefix:
First Name:TOBIE
Middle Name:LYNN
Last Name:POESCHL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TOBIE
Other - Middle Name:LYNN
Other - Last Name:POESCHL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDH
Mailing Address - Street 1:915 SARGEANT AT ARMS AVE
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59105-2037
Mailing Address - Country:US
Mailing Address - Phone:406-698-6352
Mailing Address - Fax:
Practice Address - Street 1:915 SARGEANT AT ARMS AVE
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59105-2037
Practice Address - Country:US
Practice Address - Phone:406-698-6352
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-21
Last Update Date:2013-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT924124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist