Individual provider · Type 1 NPI

Merrilyn Peterson Prucha, RDH

Dental Hygienist · Virginia Beach, VA

NPI number 1083694491 Active

Practice location

1550 Tomcat Blvd
Virginia Beach, VA 23460-2218

Call (757) 314-7190 Map

Mailing address

1901 Eastover Ct
Virginia Beach, VA 23464-8911

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X0402002559 (VA)

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 1083694491

Merrilyn Peterson Prucha, RDH's National Provider Identifier is 1083694491, issued on Jan 20, 2006. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Virginia Beach, VA. The record was last updated on Jul 13, 2026.