Individual provider · Type 1 NPI
Tracie Moya, RDH
Dental Hygienist · Appleton, WI
Practice location
5337 W Grande Market Drive
Appleton, WI 54913-5491
Fax (920) 882-2946
Mailing address
119 N Mccarthy Rd Ste S
Appleton, WI 54913-9111
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Hygienist Primary | 124Q00000X | 7001063-16 (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 1154039345
Tracie Moya, RDH's National Provider Identifier is 1154039345, issued on Nov 7, 2022. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Appleton, WI. The record was last updated on Nov 8, 2022.