Individual provider · Type 1 NPI

Bernadette Kozak, IPDH

Dental Hygienist · Fryeburg, ME

NPI number 1720300155 Active

Practice location

19 Portland St
Fryeburg, ME 04037-1205

Mailing address

PO Box 523
Fryeburg, ME 04037-0523

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XRDH3183 (ME)

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 1720300155

Bernadette Kozak, IPDH's National Provider Identifier is 1720300155, issued on Feb 26, 2010. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Fryeburg, ME. The record was last updated on Dec 30, 2016.