Individual provider · Type 1 NPI

Dominique Latasha Terry, RDH

Dental Hygienist · Memphis, TN

NPI number 1376866988 Active

Practice location

2595 Central Avenue, Christ Community Health Services Inc
Memphis, TN 38104

Call (901) 260-8551 Map

Fax (901) 260-8590

Mailing address

2877 Poplar Avenue, Christ Community Health Services Inc
Memphis, TN 38111

Specialties and licenses

Taxonomy	Code	License
Dental Hygienist Primary	124Q00000X	DH05369 (TN)

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 1376866988

Dominique Latasha Terry, RDH's National Provider Identifier is 1376866988, issued on Mar 10, 2010. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Memphis, TN. The record was last updated on Mar 10, 2010.