Individual provider · Type 1 NPI
Melissa Mary Johnson, RDH
Dental Hygienist · Green Bay, WI
Practice location
1711 Shawno Ave
Green Bay, WI 54303
Fax (920) 494-8195
Mailing address
1300 San Jose Place
Green Bay, WI 54303
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Hygienist Primary | 124Q00000X | 6901016 (WI) |
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 1386779072
Melissa Mary Johnson, RDH's National Provider Identifier is 1386779072, issued on Feb 22, 2007. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Green Bay, WI. The record was last updated on Jul 8, 2007.