Individual provider · Type 1 NPI

Maggie Delashmutt, RDH

Dental Hygienist · Anna, IL

NPI number 1609741560 Active

Practice location

513 N Main St
Anna, IL 62906-1697

Fax (618) 833-4900

Other practice locations

  • 211 N Broadway, Goreville, IL 62939-2323 · (618) 995-1002

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X020018366 (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 1609741560

Maggie Delashmutt, RDH's National Provider Identifier is 1609741560, issued on Oct 9, 2025. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Anna, IL. The record was last updated on Oct 9, 2025.