Individual provider · Type 1 NPI

Aysha Marie Rossman-Mallow, RDH

Dental Hygienist · Chicago, IL

NPI number 1174034201 Active

Practice location

1254 N Wells St
Chicago, IL 60610-1981

Mailing address

2925 N Talman Ave
Chicago, IL 60618-7814

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X020.014564

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 1174034201

Aysha Marie Rossman-Mallow, RDH's National Provider Identifier is 1174034201, issued on Oct 16, 2017. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Chicago, IL. The record was last updated on Oct 16, 2017.