Most Relevant Information
Provider Data
| NPI Number: | 1003441023 |
| Provider Name: | LORI DENISE HIGGINS RDH |
| Entity Type: | Individual |
| Taxonomy Code: | 124Q00000X |
| Specialty: | Dental Hygienist |
| License Number: | 6004 |
Most Important Dates
| Enumeration Date: | 03/10/2020 |
| Last Updated: | 03/10/2020 |
Provider Practice Location
140 JOHN C BRECKENRIDGE CV
ADAMSVILLE
TN
383105066
Practice Location Phone/Fax
| Phone: | 7319265613 |
| Fax: |
Provider Mailing Location
140 JOHN C BRECKENRIDGE CV
ADAMSVILLE
TN
383105066
Provider Mailing Phone/Fax
| Phone: | 7319265613 |
| Fax: |