Individual provider · Type 1 NPI

Kelly Kathleen Bearss, R.D.H.

Dental Hygienist · Grand Rapids, MI

NPI number 1417354077 Active

Practice location

6715 Old 28th St SE
Grand Rapids, MI 49546-6923

Mailing address

639 Eastern Ave NE
Grand Rapids, MI 49503-1810

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X2902013595 (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 1417354077

Kelly Kathleen Bearss, R.D.H.'s National Provider Identifier is 1417354077, issued on Nov 25, 2014. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Nov 25, 2014.