Individual provider · Type 1 NPI

Kim Leann Sullivan, RDH

Dental Hygienist · Fayetteville, AR

NPI number 1891957759 Active

Practice location

1100 N College Ave
Fayetteville, AR 72703-1944

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X0752 (AR)

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 1891957759

Kim Leann Sullivan, RDH's National Provider Identifier is 1891957759, issued on Jul 1, 2008. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Fayetteville, AR. The record was last updated on Jul 1, 2008.