# TABITHA VOLLMER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1639618325
- **Gender:** F
- **Credential:** RDH

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 124Q00000X | Dental Hygienist | 2012022466 | MO | Yes |
| 126800000X | Dental Assistant | 2016004422 | MO | — |
| 126800000X | Dental Assistant | 2016004424 | MO | — |
| 126800000X | Dental Assistant | 2016004425 | MO | — |
| 126800000X | Dental Assistant | 2016004427 | MO | — |

## Other

- **Enumeration date:** 02/15/2017
- **Last updated:** 02/15/2017