Individual provider · Type 1 NPI

Carmen Lee Koepl

Dental Hygienist · Moscow, ID

NPI number 1073095501 Active

Practice location

803 S Main St Ste 120
Moscow, ID 83843-2695

Call (208) 848-8300 Map

Fax (208) 882-5587

Mailing address

611 N Iron Bridge Way
Spokane, WA 99202-4932

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist 124Q00000XDH60888742 (WA)
Dental Hygienist Primary 124Q00000XDH-3679 (ID)

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 1073095501

Carmen Lee Koepl's National Provider Identifier is 1073095501, issued on Aug 31, 2018. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Moscow, ID. The record was last updated on Mar 31, 2021.