Individual provider · Type 1 NPI

Autumn Rose Vangennip, RDH

Dental Hygienist · Cape Girardeau, MO

NPI number 1609295674 Active

Practice location

408 S Broadview St
Cape Girardeau, MO 63703-5725

Call (573) 332-0808 Map

Fax (573) 339-7945

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X2011017963 (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 1609295674

Autumn Rose Vangennip, RDH's National Provider Identifier is 1609295674, issued on Apr 7, 2014. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Cape Girardeau, MO. The record was last updated on Apr 7, 2014.