Individual provider · Type 1 NPI

Rebecca Ann Ellsworth, RDH, COM

Dental Hygienist · Kalamazoo, MI

NPI number 1356619084 Active

Practice location

1011 W Maple St, Suite 300
Kalamazoo, MI 49008-1899

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X2902005366 (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 1356619084

Rebecca Ann Ellsworth, RDH, COM's National Provider Identifier is 1356619084, issued on Dec 8, 2011. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Kalamazoo, MI. The record was last updated on Dec 8, 2011.