Individual provider · Type 1 NPI

Cecilia Marie Fernandes, RDH

Dental Hygienist · Derby, CT

NPI number 1255865200 Active

Practice location

30 Elizabeth St Ste 2
Derby, CT 06418-1802

Fax (203) 736-5462

Mailing address

400 Columbus Ave, Credentialing Specialist
New Haven, CT 06519-1233

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X8467 (CT)

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 1255865200

Cecilia Marie Fernandes, RDH's National Provider Identifier is 1255865200, issued on Apr 17, 2017. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Derby, CT. The record was last updated on Apr 17, 2017.