MEDICARE: MS. LINDA C HUPMAN RDH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	124Q00000X	Dental Hygienist	1572	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	07146	OTHER	NC	BCBS NC

General Provider Information

NPI Number	:	1518034123
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LINDA C HUPMAN RDH

Provider Business Mailing Address
First Line	:	300 W TRYON ST
Second Line	:
City	:	HILLSBOROUGH
State	:	NC
Zip	:	27278-2438
Country	:	US
Telephone Number	:	919-245-2435
Fax Number	:	919-644-3368

Provider Business Practice Location Address
First Line	:	200 N GREENSBORO ST
Second Line	:	CARR MILL MALL, SUITE D15
City	:	CARRBORO
State	:	NC
Zip	:	27510-1833
Country	:	US
Telephone Number	:	919-968-2040
Fax Number	:	919-968-2021

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/29/2006
Last Update Date	:	07/09/2007

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Directions to “ MS. LINDA C HUPMAN RDH” Practice Location

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