Healthcare Provider Details

I. General information

NPI: 1912850835
Provider Name (Legal Business Name): CLAIRE SIGNORINO RDH
Entity Type: Individual
Gender:
Sole Proprietor: N

Provider Other Name: CLAIRE BLYTHE

II. Dates (important events)

Enumeration Date: 02/19/2026
Last Update Date: 02/19/2026
Certification Date: 02/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 COMPASS POINT DR
SAINT CHARLES MO
63301-4404
US

IV. Provider business mailing address

1800 COMMUNITY
CLINTON MO
64735-8804
US

V. Phone/Fax

Practice location:
  • Phone: 844-853-8937
  • Fax:
Mailing address:
  • Phone: 844-853-8937
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number2024022872
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: