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Alyssa Higgins

Dental Hygienist in Bloomington, IL. Individual provider (NPI-1).

NPI number1124476148
StatusActive
Last updated in NPPESMay 31, 2016

Details

NPI
1124476148
Entity type
Individual (NPI-1)
Name
Alyssa Higgins
Sex
Female
Sole proprietor
No
Enumeration date
May 31, 2016
Last updated
May 31, 2016

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 codeDescriptionLicenseStatePrimary
124Q00000X Dental Hygienist020.014749ILYes

Practice location

1407 N Veterans Pkwy
Suite 12
Bloomington, IL 61704-6630

Phone 309-661-2999

Mailing address

901 Sheridan St
Chenoa, IL 61726-1442

Phone 309-530-0683

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.

Other Dental Hygienist providers in Bloomington, IL

All 7 Dental Hygienist providers in Bloomington · All 2,449 providers in Bloomington

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