Individual provider · Type 1 NPI

Charlea Dawn Deroche, R.D.H.

Dental Hygienist · Missoula, MT

NPI number 1124737424 Active

Practice location

830 W Central Ave
Missoula, MT 59801-7931

Call (406) 829-9515 Map

Fax (406) 829-9519

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XDEN-RDH-LIC-21507 (MT)

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 1124737424

Charlea Dawn Deroche, R.D.H.'s National Provider Identifier is 1124737424, issued on Nov 16, 2022. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Missoula, MT. The record was last updated on Nov 16, 2022.