Individual provider · Type 1 NPI

Mychel Toni Dolezal, R.D.H.

Dental Hygienist · Ellsworth, KS

NPI number 1407093958 Active

Practice location

202 N Douglas Ave
Ellsworth, KS 67439-3216

Fax (785) 472-3620

Mailing address

315 E 3rd St
Ellsworth, KS 67439-3505

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X10973 (KS)

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 1407093958

Mychel Toni Dolezal, R.D.H.'s National Provider Identifier is 1407093958, issued on Jan 20, 2009. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Ellsworth, KS. The record was last updated on Jan 20, 2009.