Individual provider · Type 1 NPI

Richaly Luce

Dental Hygienist · Green Bay, WI

NPI number 1508115817 Active

Practice location

424 S Monroe Ave Ste 106
Green Bay, WI 54301-4054

Fax (920) 489-8233

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X1003719 (WI)
Specialist 174400000X703436 (CA)

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 1508115817

Richaly Luce's National Provider Identifier is 1508115817, issued on Aug 31, 2012. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Green Bay, WI. The record was last updated on Sep 17, 2020.