Individual provider · Type 1 NPI

Justin Tyler Ambrose, RDH

Dental Hygienist · Baltimore, MD

NPI number 1912677220 Active

Practice location

5632 The Alameda
Baltimore, MD 21239-2737

Mailing address

8418 Coco Rd
Rosedale, MD 21237-1843

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist 124Q00000XDH.002025759 (CO)
Dental Hygienist Primary 124Q00000X7293 (MD)

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 1912677220

Justin Tyler Ambrose, RDH's National Provider Identifier is 1912677220, issued on Sep 17, 2021. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Baltimore, MD. The record was last updated on Sep 17, 2021.