Individual provider · Type 1 NPI

Tina Godisak, RDH

Dental Hygienist · Telluride, CO

NPI number 1316374200 Active

Practice location

220 E Colorado Ave Ste 106
Telluride, CO 81435

Call (719) 480-3822 Map

Fax (888) 595-3242

Mailing address

PO Box 4222
Telluride, CO 81435

Specialties and licenses

Taxonomy	Code	License
Dental Hygienist Primary	124Q00000X	904579 (CO)

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 1316374200

Tina Godisak, RDH's National Provider Identifier is 1316374200, issued on Oct 9, 2013. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Telluride, CO. The record was last updated on Oct 9, 2013.