Individual provider · Type 1 NPI

Amy L. Larson, RDH

Dental Hygienist · Green Bay, WI

NPI number 1720119845 Active

Practice location

1400 Lombardi Ave, Suite 50
Green Bay, WI 54304-3922

Call (920) 498-8877 Map

Fax (920) 498-8941

Mailing address

1408 Spring St
Sobieski, WI 54171-9717

Specialties and licenses

Taxonomy	Code	License
Dental Hygienist Primary	124Q00000X	4743 (WI)

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 1720119845

Amy L. Larson, RDH's National Provider Identifier is 1720119845, issued on Mar 8, 2007. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Green Bay, WI. The record was last updated on Jul 8, 2007.