Individual provider · Type 1 NPI

Kristy Polhemus

Dental Assistant · Lake Jackson, TX

NPI number 1184721276 Active

Practice location

102 Flag Lake Dr Ste C
Lake Jackson, TX 77566-6215

Call (979) 297-1201 Map

Fax (979) 297-6226

Mailing address

1109 E Kyle Rd
Clute, TX 77531-3311

Specialties and licenses

Taxonomy	Code	License
Dental Assistant Primary	126800000X	2067 (TX)

Dental Assistant: An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the d…

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About NPI 1184721276

Kristy Polhemus's National Provider Identifier is 1184721276, issued on Sep 20, 2006. The primary taxonomy on file is Dental Assistant (126800000X), and the practice location is in Lake Jackson, TX. The record was last updated on Jul 8, 2007.