Individual provider · Type 1 NPI

Lacie Elizabeth Wilson Glick, RDH

Dental Hygienist · Gainesville, FL

NPI number 1053024604 Active

Practice location

3147 SW 45th St Ste 40
Gainesville, FL 32608-2399

Call (352) 389-4386 Map

Mailing address

1201 Mercer St Unit 405
Seattle, WA 98109-5780

Specialties and licenses

Taxonomy	Code	License
Dental Hygienist Primary	124Q00000X	24315 (FL)

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 1053024604

Lacie Elizabeth Wilson Glick, RDH's National Provider Identifier is 1053024604, issued on Dec 28, 2022. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Gainesville, FL. The record was last updated on Dec 28, 2022.