Individual provider · Type 1 NPI

Terra L. Wiseley

Dental Hygienist · Jackson, MI

NPI number 1659036739 Active

Practice location

122 Highland Dr
Jackson, MI 49201-9164

Fax (517) 315-4918

Mailing address

3461 Manorway Rd
Osseo, MI 49266-9833

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X2902011222 (MI)

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 1659036739

Terra L. Wiseley's National Provider Identifier is 1659036739, issued on Nov 3, 2021. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Jackson, MI. The record was last updated on Nov 3, 2021.