Individual provider · Type 1 NPI

Kimberly Petrilla, RDH

Dental Hygienist · Reno, NV

NPI number 1669308870 Active

Practice location

550 Hammill Ln
Reno, NV 89511-2045

Mailing address

1544 Cantinia Dr
Sparks, NV 89436-5320

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X102051 (NV)

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 1669308870

Kimberly Petrilla, RDH's National Provider Identifier is 1669308870, issued on Jun 23, 2026. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Reno, NV. The record was last updated on Jun 23, 2026.