Individual provider · Type 1 NPI

Debra Gordon, R.D.H.

Dental Hygienist · Tempe, AZ

NPI number 1003110065 Active

Practice location

6601 S Rural Rd
Tempe, AZ 85283-3747

Mailing address

PO Box 52108
Mesa, AZ 85208-0106

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X1491 (AZ)

Dental Hygienist: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and…

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About NPI 1003110065

Debra Gordon, R.D.H.'s National Provider Identifier is 1003110065, issued on Jan 5, 2011. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Tempe, AZ. The record was last updated on Jun 28, 2011.