Individual provider · Type 1 NPI

Judith M. Boothby, RDHAP, BS

Dental Hygienist · Fair Oaks, CA

NPI number 1114059193 Active

Practice location

8139 Sunset Ave, #105
Fair Oaks, CA 95628-5131

Fax (916) 989-1026

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XHAP #1 (CA)

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 1114059193

Judith M. Boothby, RDHAP, BS's National Provider Identifier is 1114059193, issued on Mar 12, 2007. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Fair Oaks, CA. The record was last updated on Jul 8, 2007.