Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Maddisen Marie Oldham, DH

Individual provider Dental Hygienist · NPI 1619890522

Maddisen Marie Oldham, DH is a Dental Hygienist in Kimberling City, Missouri. Licensed in Missouri. Registered with an NPI since 2026.

Licensed in
MO
In the registry since
2026

Practice location Address checks out

11863 State Highway 13
Kimberling City, MO 65686-8362
Phone: (417) 739-1995
Fax: (417) 739-1893
Show map & directions

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

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X · Licence 2021002547 (MO)

Record details

NPI number1619890522
Entity typeIndividual (Type 1)
GenderFemale
Credentials DH
Sole proprietorNo
NPI enumeratedJuly 30, 2026
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026

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