Individual provider · Type 1 NPI

Tara Lee Kimball, RDH

Dental Hygienist · Holland, MI

NPI number 1154744647 Active

Practice location

99 W 26th St
Holland, MI 49423-4970

Fax (616) 392-3632

Specialties and licenses

Taxonomy	Code	License
Dental Hygienist Primary	124Q00000X	2902010638 (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 1154744647

Tara Lee Kimball, RDH's National Provider Identifier is 1154744647, issued on Feb 4, 2014. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Holland, MI. The record was last updated on Feb 4, 2014.