Individual provider · Type 1 NPI

Susan Elizabeth Slade, R.D.H.

Dental Hygienist · Santa Rosa, CA

NPI number 1205278587 Active

Practice location

711 Stony Point Rd
Santa Rosa, CA 95407-6802

Call (707) 578-2005 Map

Mailing address

3569 Round Barn Cir
Santa Rosa, CA 95403-5781

Specialties and licenses

Taxonomy	Code	License
Dental Hygienist Primary	124Q00000X	13202 (CA)

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 1205278587

Susan Elizabeth Slade, R.D.H.'s National Provider Identifier is 1205278587, issued on Jul 26, 2013. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Santa Rosa, CA. The record was last updated on Jul 26, 2013.