Individual provider · Type 1 NPI
Lacy W. Wilson, R.D.H.
Dental Hygienist · Clarksville, TN
Practice location
1815 Haynes St
Clarksville, TN 37043-4548
Fax (931) 553-8659
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Hygienist Primary | 124Q00000X | 3095 (TN) |
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…
2 other providers at this address
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About NPI 1144567108
Lacy W. Wilson, R.D.H.'s National Provider Identifier is 1144567108, issued on Jan 10, 2013. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Clarksville, TN. The record was last updated on Jan 10, 2013.