Individual provider · Type 1 NPI

Diane Medaris, RDH

Dental Hygienist · Fort Liberty, NC

NPI number 1780431791 Active

Practice location

6238 Ardennes St
Fort Liberty, NC 28307

Mailing address

328 Derby Ln
Hope Mills, NC 28348-7556

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X7604 (NC)

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 1780431791

Diane Medaris, RDH's National Provider Identifier is 1780431791, issued on May 6, 2024. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Fort Liberty, NC. The record was last updated on May 6, 2024.