Individual provider · Type 1 NPI

Tyka L. Brannan, PTDA ASSISTANT

Dental Assistant · Vancouver, WA

NPI number 1760595193 Active

Practice location

14406 NE 20th Ave
Vancouver, WA 98686-1448

Mailing address

305 Cowlitz Way
Kelso, WA 98626-4109

Specialties and licenses

TaxonomyCodeLicense
Dental Assistant Primary 126800000X0764 (WA)

Dental Assistant: An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the d…

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About NPI 1760595193

Tyka L. Brannan, PTDA ASSISTANT's National Provider Identifier is 1760595193, issued on Aug 17, 2006. The primary taxonomy on file is Dental Assistant (126800000X), and the practice location is in Vancouver, WA. The record was last updated on Jul 8, 2007.