Individual provider · Type 1 NPI

Joe Moreno, RDH

Dental Hygienist · Putnam, CT

NPI number 1710957519 Active

Practice location

202 Pomfret St
Putnam, CT 06260-1833

Fax (860) 963-0015

Mailing address

40 Mansfield Ave
Willimantic, CT 06226-2018

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X006540 (CT)

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 1710957519

Joe Moreno, RDH's National Provider Identifier is 1710957519, issued on Jan 24, 2006. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Putnam, CT. The record was last updated on Oct 17, 2014.