Individual provider · Type 1 NPI

Tara Eden Vanderpool, RDH

Dental Hygienist · Peoria, AZ

NPI number 1669716544 Active

Practice location

15182 N 75th Ave, Suite 120
Peoria, AZ 85381-4722

Call (623) 878-2400 Map

Fax (623) 878-3151

Mailing address

6601 S Rural Rd
Tempe, AZ 85283-3747

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XH007396 (AZ)

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 1669716544

Tara Eden Vanderpool, RDH's National Provider Identifier is 1669716544, issued on Nov 16, 2012. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Peoria, AZ. The record was last updated on Nov 16, 2012.