Individual provider · Type 1 NPI

Kimberly Fasula, RDH, MS, MPH

Dental Hygienist · Chicago, IL

NPI number 1548866916 Active

Practice location

836 W Wellington Ave
Chicago, IL 60657-5147

Call (773) 474-6896 Map

Mailing address

3830 S Lowe Ave
Chicago, IL 60609-1645

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X020009530 (IL)

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 1548866916

Kimberly Fasula, RDH, MS, MPH's National Provider Identifier is 1548866916, issued on Dec 9, 2020. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Chicago, IL. The record was last updated on Dec 9, 2020.