Individual provider · Type 1 NPI

Kenna Rose Tyree, RDH

Dental Hygienist · Round Mountain, CA

NPI number 1013474501 Active

Practice location

29632 Highway 299 East
Round Mountain, CA 96084

Mailing address

PO Box 228
Round Mountain, CA 96084-0228

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X30456 (CA)

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 1013474501

Kenna Rose Tyree, RDH's National Provider Identifier is 1013474501, issued on Feb 21, 2019. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Round Mountain, CA. The record was last updated on Feb 21, 2019.