Individual provider · Type 1 NPI

Kyra Mickelson, RDH

Dental Hygienist · Fort Wainwright, AK

NPI number 1699430041 Active

Practice location

4192 6th St Apt 4
Fort Wainwright, AK 99703-1260

Specialties and licenses

Taxonomy	Code	License
Dental Hygienist Primary	124Q00000X	147040 (AK)

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 1699430041

Kyra Mickelson, RDH's National Provider Identifier is 1699430041, issued on Nov 1, 2021. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Fort Wainwright, AK. The record was last updated on Nov 1, 2021.