Individual provider · Type 1 NPI

Stephanie Lica, RDH, BSDH

Dental Hygienist · Detroit, MI

NPI number 1457077828 Active

Practice location

2700 Martin Luther King Jr Blvd
Detroit, MI 48208-2576

Call (313) 494-6939 Map

Mailing address

38415 Lancaster St
Livonia, MI 48154-1523

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XNone listed

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 1457077828

Stephanie Lica, RDH, BSDH's National Provider Identifier is 1457077828, issued on Oct 17, 2022. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Detroit, MI. The record was last updated on Oct 17, 2022.