Individual provider · Type 1 NPI

Fred Summerfelt, RDH AP

Dental Hygienist · Flagstaff, AZ

NPI number 1043479108 Active

Practice location

997 E Sterling Ln
Flagstaff, AZ 86001-6572

Call (928) 779-3623 Map

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XH4342 (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 1043479108

Fred Summerfelt, RDH AP's National Provider Identifier is 1043479108, issued on Jun 4, 2008. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Flagstaff, AZ. The record was last updated on Jun 4, 2008.