Corissa Julie Flagg, RDH
Dental Hygienist in Saint Paul, MN. Individual provider (NPI-1).
NPI number1689017261
StatusActive
Last updated in NPPESApr 12, 2013
Details
- NPI
- 1689017261
- Entity type
- Individual (NPI-1)
- Name
- Corissa Julie Flagg
- Credential
- RDH
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 12, 2013
- Last updated
- Apr 12, 2013
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 | H8180 | MN | Yes |
Practice location
1700 Highway 36 WSte 860
Saint Paul, MN 55113-4034
Phone 651-778-9911
Mailing address
11321 Ibis St NwCoon Rapids, MN 55433-3750
Phone 763-238-2136
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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 Saint Paul, MN
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- Andrada Lavinia Hrdlicka, RDHNPI 1124304373
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All 14 Dental Hygienist providers in Saint Paul · All 12,912 providers in Saint Paul
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