Individual provider · Type 1 NPI

Kelly Anne Mack, RD4

Dental Hygienist · Wheaton, IL

NPI number 1245308899 Active

Practice location

55 E Loop Rd, Grove Dental Assoc Suite 201
Wheaton, IL 60187

Call (630) 653-8899 Map

Mailing address

621 Glacier Trail
Roselle, IL 60172

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XNone listed

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 1245308899

Kelly Anne Mack, RD4's National Provider Identifier is 1245308899, issued on Dec 1, 2006. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Wheaton, IL. The record was last updated on Jul 8, 2007.