Individual provider · Type 1 NPI
Nicole Susalla, RDH
Dental Hygienist · Dearborn, MI
Practice location
1342 Venice St
Dearborn, MI 48124-4062
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Hygienist Primary | 124Q00000X | 3926143 (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 1659746568
Nicole Susalla, RDH's National Provider Identifier is 1659746568, issued on Dec 2, 2015. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Dearborn, MI. The record was last updated on Dec 2, 2015.