Individual provider · Type 1 NPI

Stacey Andresen

Dental Hygienist · Gwinn, MI

NPI number 1083104392 Active

Practice location

301 Explorer St
Gwinn, MI 49841-2813

Call (906) 346-9275 Map

Mailing address

2815 Wright St
Marquette, MI 49855-9694

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X2902011657 (MI)

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 1083104392

Stacey Andresen's National Provider Identifier is 1083104392, issued on May 11, 2018. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Gwinn, MI. The record was last updated on May 11, 2018.