Individual provider · Type 1 NPI

Mandy Havercroft, BS, RDH

Dental Hygienist · Tigard, OR

NPI number 1104249192 Active

Practice location

10115 SW Nimbus Ave, #350
Tigard, OR 97223-4349

Mailing address

6965 SW Nyberg St, #U203
Tualatin, OR 97062-7479

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XH6480 (OR)

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 1104249192

Mandy Havercroft, BS, RDH's National Provider Identifier is 1104249192, issued on Jan 27, 2014. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Tigard, OR. The record was last updated on Jan 27, 2014.