Individual provider · Type 1 NPI

Diane Renee Weidley, RDH

Dental Hygienist · Polacca, AZ

NPI number 1891924403 Active

Practice location

Hwy 264, Mpp 388
Polacca, AZ 86042

Fax (928) 737-6168

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XDH16244 (FL)

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 1891924403

Diane Renee Weidley, RDH's National Provider Identifier is 1891924403, issued on Jul 6, 2009. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Polacca, AZ. The record was last updated on Jul 6, 2009.