Individual provider · Type 1 NPI
Kimberly Boudreaux, RDH
Dental Hygienist · Mount Pleasant, WI
Practice location
5559 Deerfield Rd
Mount Pleasant, WI 53406-1819
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Hygienist Primary | 124Q00000X | 6369-016 (WI) |
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 1124385406
Kimberly Boudreaux, RDH's National Provider Identifier is 1124385406, issued on Apr 11, 2012. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Mount Pleasant, WI. The record was last updated on Apr 11, 2012.