Individual provider · Type 1 NPI

Corissa Julie Flagg, RDH

Dental Hygienist · St. Paul, MN

NPI number 1689017261 Active

Practice location

1700 Highway 36 W, Ste 860
St. Paul, MN 55113-4034

Mailing address

11321 Ibis St NW
Coon Rapids, MN 55433-3750

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XH8180 (MN)

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 1689017261

Corissa Julie Flagg, RDH's National Provider Identifier is 1689017261, issued on Apr 12, 2013. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in St. Paul, MN. The record was last updated on Apr 12, 2013.