Individual provider · Type 1 NPI

Mikayla Rose Weaver, PHDHP

Dental Hygienist · Williamsport, PA

NPI number 1538050612 Active

Practice location

471 Hepburn St
Williamsport, PA 17701-6122

Call (570) 567-5400 Map

Mailing address

441 Main St
Salladasburg, PA 17740-7409

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XDH075247 (PA)

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 1538050612

Mikayla Rose Weaver, PHDHP's National Provider Identifier is 1538050612, issued on Jul 15, 2025. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Williamsport, PA. The record was last updated on Dec 22, 2025.