Individual provider · Type 1 NPI

Rafaa Sameer Poota, RDH

Dental Hygienist · Macomb, MI

NPI number 1104790823 Active

Practice location

45264 Northport Dr Apt 6205
Macomb, MI 48044-5301

Specialties and licenses

Taxonomy	Code	License
Dental Hygienist Primary	124Q00000X	2902018505 (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 1104790823

Rafaa Sameer Poota, RDH's National Provider Identifier is 1104790823, issued on Oct 4, 2025. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Macomb, MI. The record was last updated on Oct 24, 2025.