Individual provider · Type 1 NPI

Cassie Jo Boultinghouse, RDH

Dental Hygienist · Nevada, MO

NPI number 1962211482 Active

Practice location

301 W Austin Blvd
Nevada, MO 64772-3124

Mailing address

1800 Community
Clinton, MO 64735-8804

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X2006018226 (MO)

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 1962211482

Cassie Jo Boultinghouse, RDH's National Provider Identifier is 1962211482, issued on Dec 31, 2024. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Nevada, MO. The record was last updated on Dec 31, 2024.