Individual provider · Type 1 NPI

Stefanie Pellerin, RDH

Dental Hygienist · Middletown, CT

NPI number 1396464210 Active

Practice location

101 Centerpoint Dr Ste 215
Middletown, CT 06457-7568

Fax (888) 662-0859

Mailing address

100 Crossing Blvd Ste 300
Framingham, MA 01702-5555

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X008883 (CT)

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 1396464210

Stefanie Pellerin, RDH's National Provider Identifier is 1396464210, issued on Aug 24, 2022. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Middletown, CT. The record was last updated on Aug 24, 2022.