Individual provider · Type 1 NPI

Lisa Soderman, RDH

Dental Hygienist · Jackson, MI

NPI number 1326762972 Active

Practice location

122 Highland Dr
Jackson, MI 49201-9164

Call (517) 740-7422 Map

Fax (517) 315-4918

Mailing address

8441 N P.11 Dr
Gladstone, MI 49837-2654

Specialties and licenses

Taxonomy	Code	License
Dental Hygienist Primary	124Q00000X	2902013702 (MI)

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 1326762972

Lisa Soderman, RDH's National Provider Identifier is 1326762972, issued on Sep 28, 2022. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Jackson, MI. The record was last updated on Sep 28, 2022.