Individual provider · Type 1 NPI

Andrea Pellom

Dental Hygienist · Baltimore, MD

NPI number 1942670799 Active

Practice location

3319 W Belvedere Ave
Baltimore, MD 21215-5143

Fax (410) 542-2039

Mailing address

6005 Belle Grove Rd
Baltimore, MD 21225-3261

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X7148 (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 1942670799

Andrea Pellom's National Provider Identifier is 1942670799, issued on Oct 5, 2015. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Baltimore, MD. The record was last updated on Oct 5, 2015.