Individual provider · Type 1 NPI

Holly Ann Daverin, RDH

Dental Hygienist · Fort Washakie, WY

NPI number 1245501808 Active

Practice location

29 Black Coal Drive, Fort Washakie Dental Clinic
Fort Washakie, WY 82514-0128

Call (307) 332-7300 Map

Mailing address

11102 W 4000N Rd
Bonfield, IL 60913-7171

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XH6127 (OR)

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 1245501808

Holly Ann Daverin, RDH's National Provider Identifier is 1245501808, issued on Jan 13, 2012. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Fort Washakie, WY. The record was last updated on Jan 13, 2012.