Individual provider · Type 1 NPI

Patricia Peacock

Dental Hygienist · Ellensburg, WA

NPI number 1821426545 Active

Practice location

1206 N Dolarway Rd, Suite 101
Ellensburg, WA 98926-8392

Call (509) 933-2400 Map

Fax (509) 933-4804

Mailing address

1806 W Lincoln Ave
Yakima, WA 98902-2473

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XDH60022399 (WA)

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 1821426545

Patricia Peacock's National Provider Identifier is 1821426545, issued on Oct 15, 2013. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Ellensburg, WA. The record was last updated on Oct 15, 2013.