Individual provider · Type 1 NPI
Brenda Moore, RDH
Dental Hygienist · Fort Polk, LA
Practice location
7223 Mississippi Ave Building 2157
Fort Polk, LA 71459
Mailing address
360 Fairway Ct
Fort Polk, LA 71459-3121
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Hygienist Primary | 124Q00000X | DENH966 (AK) |
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 1952806986
Brenda Moore, RDH's National Provider Identifier is 1952806986, issued on Mar 30, 2018. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Fort Polk, LA. The record was last updated on Mar 30, 2018.