Individual provider · Type 1 NPI

Kelly Bauer, RDH

Dental Hygienist · Lake Jackson, TX

NPI number 1922105022 Active

Practice location

102 Flag Lake Dr Ste C
Lake Jackson, TX 77566-6215

Call (979) 297-1201 Map

Fax (979) 297-6226

Mailing address

110 Flag Dr E
Lake Jackson, TX 77566-6006

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X5289 (TX)

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 1922105022

Kelly Bauer, RDH's National Provider Identifier is 1922105022, issued on Sep 20, 2006. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Lake Jackson, TX. The record was last updated on Jul 8, 2007.