Individual provider · Type 1 NPI

Tabitha A. Wallace, RDH

Dental Hygienist · Little Rock, AR

NPI number 1629348198 Active

Practice location

12921 Cantrell Road, Suite 101
Little Rock, AR 72223-1798

Fax (501) 664-5392

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X2217 (AR)

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 1629348198

Tabitha A. Wallace, RDH's National Provider Identifier is 1629348198, issued on Dec 30, 2011. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Little Rock, AR. The record was last updated on Dec 30, 2011.