Individual provider · Type 1 NPI

Maria Pettit

Dental Hygienist · Fort Drum, NY

NPI number 1467865584 Active

Practice location

10590 Enduring Freedom Dr
Fort Drum, NY 13602-5005

Specialties and licenses

Taxonomy	Code	License
Dental Hygienist Primary	124Q00000X	018023-1 (NY)

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 1467865584

Maria Pettit's National Provider Identifier is 1467865584, issued on Jun 5, 2014. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Fort Drum, NY. The record was last updated on Jul 25, 2016.