Organization · Type 2 NPI

Idental

Dental Hygienist · Mount Pleasant, WI

NPI number 1508316753 Active

Practice location

1320 S Green Bay Rd
Mount Pleasant, WI 53406-4402

Call (262) 223-0280 Map

Fax (262) 223-0281

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X5279 (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 1508316753

Idental's National Provider Identifier is 1508316753, issued on Oct 12, 2016. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Mount Pleasant, WI. The record was last updated on Nov 16, 2016.