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

MS. Diane Misercola, DENTALHYGIENIST

Individual provider Dental Hygienist · NPI 1770932469

MS. Diane Misercola, DENTALHYGIENIST is a Dental Hygienist in Fort Drum, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2016

Practice location Address checks out

10590 Enduring Freedom Dr
Fort Drum, NY 13602-5005
Phone: (315) 772-6889
Show map & directions

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

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X · Licence 021568 (NY)

Record details

NPI number1770932469
Entity typeIndividual (Type 1)
GenderFemale
Credentials DENTALHYGIENIST
Sole proprietorYes
NPI enumeratedJune 3, 2016
Last updated in NPPESJune 6, 2016

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