Individual provider · Type 1 NPI
Courtney Pendergraft, RDH
Dental Hygienist · Tahlequah, OK
Practice location
19600 E Ross St
Tahlequah, OK 74464-0545
Mailing address
4430 Highway 412
Rose, OK 74364-1677
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Hygienist Primary | 124Q00000X | 3602 (OK) |
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 1285529669
Courtney Pendergraft, RDH's National Provider Identifier is 1285529669, issued on Jun 9, 2025. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Tahlequah, OK. The record was last updated on Jun 9, 2025.