Individual provider · Type 1 NPI

Nicole Sadusk

Dental Hygienist · Daytona Beach, FL

NPI number 1174295091 Active

Practice location

1500 Beville Rd Ste 403
Daytona Beach, FL 32114-5644

Mailing address

191 Azure Mist Way
Daytona Beach, FL 32124-3704

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XDH17651 (FL)

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 1174295091

Nicole Sadusk's National Provider Identifier is 1174295091, issued on Sep 29, 2021. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Daytona Beach, FL. The record was last updated on Sep 29, 2021.