Individual provider · Type 1 NPI

Lisa Devalder, RDH

Dental Hygienist · Brockport, NY

NPI number 1588739775 Active

Practice location

300 West Ave
Brockport, NY 14420-1118

Call (585) 637-3905 Map

Fax (585) 637-4990

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X024262-1 (NY)

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 1588739775

Lisa Devalder, RDH's National Provider Identifier is 1588739775, issued on Nov 22, 2006. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Brockport, NY. The record was last updated on Jul 8, 2007.