Individual provider · Type 1 NPI
Annalisa Tietjen I
Dental Hygienist · Fort Pierce, FL
Practice location
714 Ave C
Fort Pierce, FL 32909
Fax (772) 462-3801
Mailing address
5150 NW Milner Dr
Port St. Lucie, FL 34983-3392
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Hygienist Primary | 124Q00000X | DH17092 (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 1932506227
Annalisa Tietjen I's National Provider Identifier is 1932506227, issued on Dec 2, 2014. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Fort Pierce, FL. The record was last updated on Dec 2, 2014.