Individual provider · Type 1 NPI

Alyssa Gardner, RDH

Dental Hygienist · Southfield, MI

NPI number 1154091668 Active

Practice location

26800 Summerdale Dr Bldg 3
Southfield, MI 48033-2233

Specialties and licenses

Taxonomy	Code	License
Dental Hygienist Primary	124Q00000X	2902018762 (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 1154091668

Alyssa Gardner, RDH's National Provider Identifier is 1154091668, issued on Sep 16, 2021. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Southfield, MI. The record was last updated on May 11, 2026.