Individual provider · Type 1 NPI

Lisa Moore, DH-1002

Dental Hygienist · Plummer, ID

NPI number 1194637249 Active

Practice location

427 12th St
Plummer, ID 83851-4000

Call (208) 686-1931 Map

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XDH-1002 (ID)

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 1194637249

Lisa Moore, DH-1002's National Provider Identifier is 1194637249, issued on Sep 22, 2026. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Plummer, ID. The record was last updated on Sep 22, 2026.