Individual provider · Type 1 NPI

Deanna T. Wallace, RDH

Dental Hygienist · Janesville, WI

NPI number 1043880438 Active

Practice location

1344 Creston Park Dr Ste 2
Janesville, WI 53545-1113

Mailing address

23 W Milwaukee St
Janesville, WI 53548-2981

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X5054-16 (WI)

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 1043880438

Deanna T. Wallace, RDH's National Provider Identifier is 1043880438, issued on Jun 28, 2021. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Janesville, WI. The record was last updated on Jun 28, 2021.