Individual provider · Type 1 NPI

Mary Lou Nabak, RDH

Dental Hygienist · Green Bay, WI

NPI number 1275668964 Active

Practice location

1711 Shawano Ave
Green Bay, WI 54303-3215

Call (920) 494-9541 Map

Fax (920) 494-2026

Mailing address

1343 Glen Rd
Green Bay, WI 54313-5609

Specialties and licenses

Taxonomy	Code	License
Dental Hygienist Primary	124Q00000X	2919016 (WI)

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 1275668964

Mary Lou Nabak, RDH's National Provider Identifier is 1275668964, issued on Feb 22, 2007. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Green Bay, WI. The record was last updated on Jul 8, 2007.