Individual provider · Type 1 NPI

Marie Rebecca Joanne Bergevin, RDH

Dental Hygienist · Malone, NY

NPI number 1114061116 Active

Practice location

200 Meehan Road
Malone, NY 12953

Mailing address

200 Meehan Rd
Malone, NY 12953-4728

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X124Q00000X (NY)

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 1114061116

Marie Rebecca Joanne Bergevin, RDH's National Provider Identifier is 1114061116, issued on Feb 16, 2007. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Malone, NY. The record was last updated on Jul 8, 2007.