Individual provider · Type 1 NPI
Celia Keisling Clark, RDH
Dental Hygienist · Ridgway, CO
Practice location
55 Camino San Juan
Ridgway, CO 81432-9637
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Hygienist Primary | 124Q00000X | 2506 (CO) |
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…
About NPI 1053594796
Celia Keisling Clark, RDH's National Provider Identifier is 1053594796, issued on Dec 17, 2007. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Ridgway, CO. The record was last updated on Jan 29, 2015.