Individual provider · Type 1 NPI

Nicole Mahan, RDH

Dental Hygienist · Prescott, AZ

NPI number 1396242178 Active

Practice location

3140 Clearwater Dr
Prescott, AZ 86305-7131

Fax (928) 445-5958

Specialties and licenses

Taxonomy	Code	License
Dental Hygienist Primary	124Q00000X	H007639 (AZ)

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 1396242178

Nicole Mahan, RDH's National Provider Identifier is 1396242178, issued on Apr 9, 2018. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Prescott, AZ. The record was last updated on Apr 9, 2018.