Individual provider · Type 1 NPI

Mary Ann Southerlan, RDH, PHDH

Dental Hygienist · Lincoln, IL

NPI number 1235732579 Active

Practice location

109 3rd St
Lincoln, IL 62656-2604

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X020-004826 (IL)

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 1235732579

Mary Ann Southerlan, RDH, PHDH's National Provider Identifier is 1235732579, issued on Nov 19, 2020. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Lincoln, IL. The record was last updated on Nov 19, 2020.