Individual provider · Type 1 NPI
Marti Ann Sidoli-Tanner, RDH, RDHAP
Advanced Practice Dental Therapist · Fresno, CA
Practice location
6806 W Alluvial Ave
Fresno, CA 93722-3596
Fax (559) 275-3603
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Advanced Practice Dental Therapist Primary | 125K00000X | HAP847 (CA) |
Advanced Practice Dental Therapist: An Advanced Practice Dental Therapist is:<br/>(1) A dental therapist who has completed additional training beyond basic dental therapy education and provides dental services in accordance with state advanced practice dental therapist laws or statutes; or<br/>(2) A dental hygienist with a graduate degree in advanced dental therapy prepared for independent and interdependent decision making and direct accountability f…
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About NPI 1790452878
Marti Ann Sidoli-Tanner, RDH, RDHAP's National Provider Identifier is 1790452878, issued on Aug 25, 2021. The primary taxonomy on file is Advanced Practice Dental Therapist (125K00000X), and the practice location is in Fresno, CA. The record was last updated on Aug 25, 2021.