Individual provider · Type 1 NPI

Gina Adelle Diakonov, RDH, BSDH

Dental Hygienist · Detroit, MI

NPI number 1144694886 Active

Practice location

2700 Martin Luther King Jr Blvd
Detroit, MI 48208-2576

Call (313) 494-6962 Map

Fax (313) 494-6709

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X2902015970 (MI)

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 1144694886

Gina Adelle Diakonov, RDH, BSDH's National Provider Identifier is 1144694886, issued on Nov 18, 2015. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Detroit, MI. The record was last updated on Nov 18, 2015.