Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Lisa Moore, DH-1002

Individual provider Dental Hygienist · NPI 1194637249

Lisa Moore, DH-1002 is a Dental Hygienist in Plummer, Idaho. Licensed in Idaho. Registered with an NPI since 2026.

Licensed in
ID
In the registry since
2026

Practice location Address checks out

427 12th St
Plummer, ID 83851-4000
Phone: (208) 686-1931
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X · Licence DH-1002 (ID)

Record details

NPI number1194637249
Entity typeIndividual (Type 1)
GenderFemale
Credentials DH-1002
Sole proprietorNo
NPI enumeratedSeptember 22, 2026
Last updated in NPPESSeptember 22, 2026
Certification dateSeptember 22, 2026

Other providers in Plummer