Individual provider · Type 1 NPI
Delis Ogando, DDS
Advanced Practice Dental Therapist · Jackson, MI
Practice location
505 N Jackson St
Jackson, MI 49201-1266
Mailing address
374 Wadsworth Ave Apt 1A
New York, NY 10040-3110
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Advanced Practice Dental Therapist Primary | 125K00000X | 11111111 (MI) |
Advanced Practice Dental Therapist: An Advanced Practice Dental Therapist is:<br/>(1) A dental therapist who has completed additional training beyond basic dental therapy education and provides dental services in accordance with state advanced practice dental therapist laws or statutes; or<br/>(2) A dental hygienist with a graduate degree in advanced dental therapy prepared for independent and interdependent decision making and direct accountability f…
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About NPI 1730619438
Delis Ogando, DDS's National Provider Identifier is 1730619438, issued on Jun 14, 2017. The primary taxonomy on file is Advanced Practice Dental Therapist (125K00000X), and the practice location is in Jackson, MI. The record was last updated on Jun 14, 2017.