Individual provider · Type 1 NPI

Cathleen Constance Bourque, RDH

Dental Hygienist · Plummer, ID

NPI number 1922739747 Active

Practice location

427 12th St
Plummer, ID 83851-4000

Mailing address

6995 N Cornwall St
Coeur D Alene, ID 83815-7101

Other practice locations

  • 6995 N Cornwall St, Coeur D Alene, ID 83815-7101 · (208) 699-2841

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XDH-1462 (ID)

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 1922739747

Cathleen Constance Bourque, RDH's National Provider Identifier is 1922739747, issued on Jun 22, 2022. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Plummer, ID. The record was last updated on Jun 22, 2022.