Individual provider · Type 1 NPI

Irice Ellis-Crenshaw, RDH

Dental Hygienist · Southfield, MI

NPI number 1396410353 Active

Practice location

17344 W 12 Mile Rd Ste 201
Southfield, MI 48076-6321

Specialties and licenses

Taxonomy	Code	License
Dental Hygienist Primary	124Q00000X	2902019162 (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 1396410353

Irice Ellis-Crenshaw, RDH's National Provider Identifier is 1396410353, issued on Aug 12, 2021. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Southfield, MI. The record was last updated on Aug 12, 2021.