Individual provider · Type 1 NPI

Kelly Ward

Dental Hygienist · Redway, CA

NPI number 1790222479 Active

Practice location

101 West Coast Road Suite A
Redway, CA 95560

Fax (707) 923-2590

Mailing address

1173 Angel Heights Dr
Fortuna, CA 95540-1530

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X29096 (CA)

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 1790222479

Kelly Ward's National Provider Identifier is 1790222479, issued on Jan 19, 2017. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Redway, CA. The record was last updated on Jan 19, 2017.