Individual provider · Type 1 NPI

Dominoe Nichole Banuelos, DH

Dental Hygienist · Denver, CO

NPI number 1255816807 Active

Practice location

3705 E Colfax Ave Unit 101
Denver, CO 80206-1810

Mailing address

18159 E 44th Ave
Denver, CO 80249-7602

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X002025261 (CO)

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 1255816807

Dominoe Nichole Banuelos, DH's National Provider Identifier is 1255816807, issued on Sep 29, 2018. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Denver, CO. The record was last updated on Sep 29, 2018.