Individual provider · Type 1 NPI

Lisa Costello, DENTAL HYGIENIST

Dental Hygienist · Grand Haven, MI

NPI number 1760855225 Active

Practice location

326 N. Ferry St
Grand Haven, MI 49417

Fax (616) 246-8009

Specialties and licenses

Taxonomy	Code	License
Dental Hygienist Primary	124Q00000X	2902011931 (MI)

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…

Other dental hygienist providers in Grand Haven

See all in Grand Haven →

About NPI 1760855225

Lisa Costello, DENTAL HYGIENIST's National Provider Identifier is 1760855225, issued on Nov 5, 2015. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Grand Haven, MI. The record was last updated on Nov 5, 2015.