Individual provider · Type 1 NPI

Mallory Edmondson, MSDH, RDH

Dental Hygienist · South Bend, IN

NPI number 1467920892 Active

Practice location

1002 S Esther St
South Bend, IN 46615-1440

Mailing address

4511 N 600 E
Rolling Prairie, IN 46371-9511

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X13007311A (IN)

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 1467920892

Mallory Edmondson, MSDH, RDH's National Provider Identifier is 1467920892, issued on Nov 3, 2018. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in South Bend, IN. The record was last updated on Nov 3, 2018.