Individual provider · Type 1 NPI

Alissa Marie Diltz

Dental Hygienist · Baldwin, MI

NPI number 1962319400 Active

Practice location

1615 Michigan Ave, Baldwin, Mi, Usa
Baldwin, MI 49304

Call (231) 745-2736 Map

Fax (231) 745-5050

Mailing address

1101 Fuller Ave Apt G301
Big Rapids, MI 49307-2146

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X2902021788 (MI)

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 1962319400

Alissa Marie Diltz's National Provider Identifier is 1962319400, issued on Aug 27, 2026. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Baldwin, MI. The record was last updated on Sep 8, 2026.