Individual provider · Type 1 NPI

Trina Nicksic

Dental Hygienist · Fort Collins, CO

NPI number 1457710220 Active

Practice location

1830 Laporte Ave
Fort Collins, CO 80521-2341

Fax (970) 472-2369

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X002024275 (CO)
Dental Hygienist 124Q00000X10636-16 (WI)

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 1457710220

Trina Nicksic's National Provider Identifier is 1457710220, issued on Feb 22, 2016. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Fort Collins, CO. The record was last updated on Feb 22, 2016.