Organization · Type 2 NPI

Just Clean Smiles, LLC

Dental Hygienist · Los Lunas, NM

NPI number 1609176965 Active

Practice location

1204 Main St NE, Suite B
Los Lunas, NM 87031-7409

Fax (505) 565-0709

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X1503 (NM)
Dental Hygienist Primary 124Q00000XDH-373 (NM)

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…

Another provider at this address

About NPI 1609176965

Just Clean Smiles, LLC's National Provider Identifier is 1609176965, issued on Nov 2, 2010. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Los Lunas, NM. The record was last updated on Mar 27, 2011.