Organization · Type 2 NPI

The Tooth Fairy, Inc.

Dental Hygienist · Sheridan, OR

NPI number 1114204302 Active

Practice location

21300 Gooseneck Creek Rd
Sheridan, OR 97378-9573

Fax (503) 843-3348

Mailing address

21300 Gooseneck Cr. Rd.
Sheridan, OR 97378-9543

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XH-3797 (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…

Another provider at this address

About NPI 1114204302

The Tooth Fairy, Inc.'s National Provider Identifier is 1114204302, issued on Nov 16, 2011. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Sheridan, OR. The record was last updated on Nov 16, 2011.