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

Mrs. Mary Ann Southerlan, RDH, PHDH

Individual provider Dental Hygienist · NPI 1235732579

Mrs. Mary Ann Southerlan, RDH, PHDH is a Dental Hygienist in Lincoln, Illinois. Licensed in Illinois. Registered with an NPI since 2020.

Licensed in
IL
In the registry since
2020
What do these letters mean?
RDH — Registered Dental Hygienist
A licensed hygienist who cleans teeth and screens for oral disease.

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Practice location Address checks out

109 3rd St
Lincoln, IL 62656-2604
Phone: (217) 735-2317
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X · Licence 020-004826 (IL)

Record details

NPI number1235732579
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDH , PHDH
Sole proprietorNo
NPI enumeratedNovember 19, 2020
Last updated in NPPESNovember 19, 2020
Certification dateNovember 19, 2020

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