Individual provider · Type 1 NPI

Pamela D. Ichiyasu, R. D. H.

Dental Hygienist · Denver, CO

NPI number 1104246875 Active

Practice location

5031 S Ulster St, Suite 100
Denver, CO 80237-2804

Call (303) 779-8587 Map

Fax (303) 779-9182

Mailing address

1511 Beacon Hill Dr
Highlands Ranch, CO 80126-4268

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X906146 (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…

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About NPI 1104246875

Pamela D. Ichiyasu, R. D. H.'s National Provider Identifier is 1104246875, issued on Apr 22, 2014. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Denver, CO. The record was last updated on Apr 22, 2014.