Individual provider · Type 1 NPI

Angela L. Bultema, RDH

Dental Hygienist · Grand Rapids, MI

NPI number 1164259115 Active

Practice location

669 Stocking Ave NW
Grand Rapids, MI 49504-5176

Call (616) 235-1480 Map

Mailing address

550 Cherry St SE
Grand Rapids, MI 49503-4748

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X2902012749 (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 1164259115

Angela L. Bultema, RDH's National Provider Identifier is 1164259115, issued on Sep 16, 2024. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 16, 2024.