Individual provider · Type 1 NPI

Janine Marie Bradley, RDH

Dental Hygienist · Canon City, CO

NPI number 1407326440 Active

Practice location

410 Macon Ave
Canon City, CO 81212-3225

Mailing address

1001 S Indian Bend Dr
Pueblo West, CO 81007-6158

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XDH.000906087 (CO)

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 1407326440

Janine Marie Bradley, RDH's National Provider Identifier is 1407326440, issued on Dec 3, 2018. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Canon City, CO. The record was last updated on Dec 3, 2018.