Individual provider · Type 1 NPI

Corliss Kelly Hales, RDH

Dental Hygienist · Peoria, AZ

NPI number 1578834792 Active

Practice location

15182 N. 75th Ave
Peoria, AZ 85381

Call (623) 878-2400 Map

Mailing address

15182 N. 75th Ave.
Peoria, AZ 85381

Specialties and licenses

Taxonomy	Code	License
Dental Hygienist Primary	124Q00000X	H6119 (AZ)
Dental Hygienist	124Q00000X	H3927 (OR)

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 1578834792

Corliss Kelly Hales, RDH's National Provider Identifier is 1578834792, issued on Jan 19, 2012. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Peoria, AZ. The record was last updated on Jan 19, 2012.