Individual provider · Type 1 NPI

Juana Adilene Briceno, DENTAL HYGIENIST

Dental Hygienist · La Grange Park, IL

NPI number 1639721483 Active

Practice location

321 N La Grange Rd
La Grange Park, IL 60526-5622

Call (708) 745-5277 Map

Mailing address

5220 East Ave
Countryside, IL 60525-3133

Specialties and licenses

Taxonomy	Code	License
Dental Hygienist Primary	124Q00000X	020016029 (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 1639721483

Juana Adilene Briceno, DENTAL HYGIENIST's National Provider Identifier is 1639721483, issued on Jul 11, 2019. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in La Grange Park, IL. The record was last updated on Aug 13, 2024.