Individual provider · Type 1 NPI

Mandie Shea Moon Dore, RDH, BS

Dental Hygienist · Coppell, TX

NPI number 1235307828 Active

Practice location

120 S Denton Tap Rd
Coppell, TX 75019-3297

Call (469) 635-1105 Map

Fax (972) 316-6029

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X13777 (TX)

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 1235307828

Mandie Shea Moon Dore, RDH, BS's National Provider Identifier is 1235307828, issued on Feb 15, 2008. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Coppell, TX. The record was last updated on Feb 15, 2008.