Healthcare Provider Details

I. General information

NPI: 1578400420
Provider Name (Legal Business Name): HIGH PLAINS DENTAL HYGIENE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

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 Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KARLI SEYMOUR
Title or Position: OWNER/MANAGER
Credential: DENTAL HYGIENIST
Phone: 970-380-6442