Individual provider · Type 1 NPI
Gina Wallace
Dental Hygienist · Brunswick, GA
Practice location
4741 Altama Ave
Brunswick, GA 31520-2910
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Hygienist Primary | 124Q00000X | DH043989 (GA) |
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…
Another provider at this address
About NPI 1417699505
Gina Wallace's National Provider Identifier is 1417699505, issued on Apr 10, 2022. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Brunswick, GA. The record was last updated on Apr 10, 2022.