Individual provider · Type 1 NPI
Mary Rachelle Broderick, RDH
Dental Hygienist · Appleton, NY
Practice location
6419 Lake Rd
Appleton, NY 14008-9606
Fax (716) 297-0998
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Hygienist Primary | 124Q00000X | 016112-1 (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…
About NPI 1134401490
Mary Rachelle Broderick, RDH's National Provider Identifier is 1134401490, issued on Sep 13, 2011. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Appleton, NY. The record was last updated on Sep 13, 2011.