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Alicia Jean Haener

Dental Assistant in Sparks, NV. Individual provider (NPI-1).

NPI number1720600877
StatusActive
Last updated in NPPESMay 12, 2020

Details

NPI
1720600877
Entity type
Individual (NPI-1)
Name
Mrs. Alicia Jean Haener
Sex
Female
Sole proprietor
No
Enumeration date
May 12, 2020
Certification date
May 12, 2020
Last updated
May 12, 2020

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
126800000X Dental Assistant––Yes

Practice location

850 I St
Sparks, NV 89431-3689

Phone 775-358-5330

Mailing address

850 I St
Sparks, NV 89431-3689

Phone 775-358-5330

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 Assistant providers in Sparks, NV

All 27 Dental Assistant providers in Sparks · All 2,555 providers in Sparks

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