Individual provider · Type 1 NPI

Terri Lynn Harbin Ilg, RDH

Dental Hygienist · Bangor, MI

NPI number 1417319476 Active

Practice location

308 Charles Street, Intercare Community Health Network
Bangor, MI 49013

Fax (269) 427-9539

Mailing address

50 Industrial Park Road
Bangor, MI 49013

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X2902005054 (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 1417319476

Terri Lynn Harbin Ilg, RDH's National Provider Identifier is 1417319476, issued on Mar 28, 2016. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Bangor, MI. The record was last updated on Mar 28, 2016.