Individual provider · Type 1 NPI

Kimberly Nicole Long, DENTAL HYGIENIST

Dental Hygienist · Atlanta, GA

NPI number 1649055104 Active

Practice location

2578 Gresham Rd SE
Atlanta, GA 30316-4138

Mailing address

829 White St SW
Atlanta, GA 30310-2721

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XDH011822 (GA)

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 1649055104

Kimberly Nicole Long, DENTAL HYGIENIST's National Provider Identifier is 1649055104, issued on Aug 31, 2023. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Atlanta, GA. The record was last updated on Aug 31, 2023.