Individual provider · Type 1 NPI

Dorothy Anne Black, RDH

Dental Hygienist · Bolingbrook, IL

NPI number 1255409819 Active

Practice location

406 Boughton Rd, B
Bolingbrook, IL 60440

Fax (603) 759-9392

Mailing address

1603 Timberline Dr
Joliet, IL 60431

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 1255409819

Dorothy Anne Black, RDH's National Provider Identifier is 1255409819, issued on Dec 1, 2006. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Bolingbrook, IL. The record was last updated on Jul 8, 2007.