Individual provider · Type 1 NPI

Nicole Elisa Martinez, RDH

Dental Hygienist · Detroit, MI

NPI number 1255169355 Active

Practice location

5555 Conner St
Detroit, MI 48213-3448

Call (313) 571-2648 Map

Mailing address

15666 Englewood Ave
Allen Park, MI 48101-1766

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X2902014663 (MI)

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 1255169355

Nicole Elisa Martinez, RDH's National Provider Identifier is 1255169355, issued on Jul 22, 2024. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Detroit, MI. The record was last updated on Jul 22, 2024.