Individual provider · Type 1 NPI
Annette Allison Tacke, RDH
Dental Hygienist · Longview, WA
Practice location
115 Kirkland Rd
Longview, WA 98632-0701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Hygienist Primary | 124Q00000X | DH00007476 (WA) |
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 1407192073
Annette Allison Tacke, RDH's National Provider Identifier is 1407192073, issued on Dec 29, 2012. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Longview, WA. The record was last updated on Dec 29, 2012.