Individual provider · Type 1 NPI

Alyssa Gustafson, RDH

Dental Hygienist · Summerville, SC

NPI number 1053081232 Active

Practice location

1099 N Main St Ste 102
Summerville, SC 29483-7300

Mailing address

3102 Poplar Grove Pl
Summerville, SC 29483-1697

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X11961 (SC)

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 1053081232

Alyssa Gustafson, RDH's National Provider Identifier is 1053081232, issued on Sep 17, 2021. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Summerville, SC. The record was last updated on Sep 17, 2021.