Individual provider · Type 1 NPI

Lacey Brianne St. Clair, RDH

Dental Hygienist · Kirksville, MO

NPI number 1962703462 Active

Practice location

402 W Jefferson St
Kirksville, MO 63501-3407

Fax (660) 665-3109

Mailing address

1416 Crown Dr
Kirksville, MO 63501-2548

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X2008020510 (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 1962703462

Lacey Brianne St. Clair, RDH's National Provider Identifier is 1962703462, issued on Nov 15, 2010. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Kirksville, MO. The record was last updated on Oct 12, 2012.