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Tammy Self, RDH

Dental Hygienist in Grass Valley, CA. Individual provider (NPI-1).

NPI number1316614738
StatusActive
Last updated in NPPESOct 3, 2025

Details

NPI
1316614738
Entity type
Individual (NPI-1)
Name
Tammy Self
Credential
RDH
Sex
Female
Sole proprietor
No
Enumeration date
Aug 24, 2021
Certification date
Oct 3, 2025
Last updated
Oct 3, 2025

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 Hygienist30244CAYes

Practice location

1350 E Main St
Grass Valley, CA 95945-5208

Phone 530-477-8545

Mailing address

Po Box 304
Weimar, CA 95736-0304

Phone 808-557-0420

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 Grass Valley, CA

All 6 Dental Hygienist providers in Grass Valley · All 2,088 providers in Grass Valley

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