Healthcare Provider Details

I. General information

NPI: 1033056981
Provider Name (Legal Business Name): KARLI SEYMOUR DENTAL HYGIENIST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 S MAIN ST
YUMA CO
80759-1914
US

IV. Provider business mailing address

108 S MAIN ST
YUMA CO
80759-1914
US

V. Phone/Fax

Practice location:
  • Phone: 970-380-6442
  • Fax:
Mailing address:
  • Phone: 970-380-6442
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License NumberDH.002026281
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: