Sherry Dawn Boutcher, RDH
Dental Hygienist in Rochester, MN. Individual provider (NPI-1).
NPI number1093021982
StatusActive
Last updated in NPPESAug 30, 2010
Details
- NPI
- 1093021982
- Entity type
- Individual (NPI-1)
- Name
- Sherry Dawn Boutcher
- Credential
- RDH
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 30, 2010
- Last updated
- Aug 30, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 124Q00000X | Dental Hygienist | H7930 | MN | Yes |
Practice location
903 West Center Street Suite 208United Way Building
Rochester, MN 55902
Phone 507-529-0436 · Fax 507-529-0435
Mailing address
3206 Wembley Ln NwRochester, MN 55901-4170
Phone 507-280-0343
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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