Individual provider · Type 1 NPI

Maridel Wisehart, RDH

Dental Hygienist · Portland, TX

NPI number 1114091519 Active

Practice location

213 Cedar Dr #C
Portland, TX 78374

Fax (361) 643-1266

Mailing address

228 Pecos Dr
Portland, TX 78374

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X13559 (TX)

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…

Other dental hygienist providers in Portland

See all in Portland →

About NPI 1114091519

Maridel Wisehart, RDH's National Provider Identifier is 1114091519, issued on Nov 17, 2006. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Portland, TX. The record was last updated on Jul 8, 2007.