=====================================================
General NPI Number Information
=====================================================
NPI Number | 1245181486
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JULIE CODRINGTON
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/04/2026
-----------------------------------------------------
Last Update Date | 02/04/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 325 MEETING HOUSE LN
-----------------------------------------------------
City | SOUTHAMPTON
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11968-7000
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 631-283-0352
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1 DUTCH CT
-----------------------------------------------------
City | EAST PATCHOGUE
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11772-4590
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 631-504-8411
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 124Q00000X
-----------------------------------------------------
Taxonomy Name | Dental Hygienist
-----------------------------------------------------
License Number | 028934
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------