Individual provider · Type 1 NPI
Taiwo Semilore Fakunle
Dental Hygienist · Fort Leonard Wood, MO
Practice location
US Army Dental Activity 6958 Nebraska Ave, Bldg 1608
Fort Leonard Wood, MO 65473-9223
Mailing address
US Army Dental Activity, 6958 Nebraska Ave, Bldg 1608
Fort Leonard Wood, MO 65473-9223
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Hygienist Primary | 124Q00000X | None 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 1265144869
Taiwo Semilore Fakunle's National Provider Identifier is 1265144869, issued on Dec 15, 2022. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Fort Leonard Wood, MO. The record was last updated on Feb 16, 2023.