Individual provider · Type 1 NPI

Mary Lai Heidenreich, REGISTERED DENTAL HY

Dental Hygienist · St. Louis, MO

NPI number 1548574064 Active

Practice location

5471 Dr Martin Luther King Dr
St. Louis, MO 63112-4265

Call (314) 367-5820 Map

Fax (314) 367-6326

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X2010017047 (MO)

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 1548574064

Mary Lai Heidenreich, REGISTERED DENTAL HY's National Provider Identifier is 1548574064, issued on Jul 27, 2010. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in St. Louis, MO. The record was last updated on Jul 27, 2010.