Individual provider · Type 1 NPI
Cecilia Jo Hickam, RDH-EA, OMT
Dental Hygienist · Eagle, ID
Practice location
1121 E. State Street, Suite - 102-D
Eagle, ID 83616
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Hygienist Primary | 124Q00000X | DH-0356-EA (ID) |
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…
About NPI 1376940668
Cecilia Jo Hickam, RDH-EA, OMT's National Provider Identifier is 1376940668, issued on Dec 2, 2014. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Eagle, ID. The record was last updated on Dec 2, 2014.