Individual provider · Type 1 NPI

Mariessa Lorae Orso, RDH

Dental Hygienist · Carbondale, IL

NPI number 1265168769 Active

Practice location

402 S Lewis Ln
Carbondale, IL 62901-3547

Mailing address

109 California St, PO Box 577
Carterville, IL 62918

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X020.011952 (IL)

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 1265168769

Mariessa Lorae Orso, RDH's National Provider Identifier is 1265168769, issued on Jul 27, 2022. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Carbondale, IL. The record was last updated on Jul 27, 2022.