Individual provider · Type 1 NPI
Catherine Susan Stark, RDH, ORALFACIAL MYOL
Dental Hygienist · Port Orange, FL
Practice location
3930 S Nova Rd, #201
Port Orange, FL 32127-9281
Fax (603) 687-4663
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Hygienist Primary | 124Q00000X | DH007569 (FL) |
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…
2 other providers at this address
About NPI 1740411537
Catherine Susan Stark, RDH, ORALFACIAL MYOL's National Provider Identifier is 1740411537, issued on Jul 28, 2009. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Port Orange, FL. The record was last updated on Jul 28, 2009.