Individual provider · Type 1 NPI
Jeannette Pak-Fugate, RDH
Dental Hygienist · Larkspur, CO
Practice location
8520 Spruce Mountain Rd Ste 110
Larkspur, CO 80118-1004
Mailing address
1745 Catnap Ln
Monument, CO 80132-6127
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Hygienist Primary | 124Q00000X | 2994 (CO) |
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…
About NPI 1972192664
Jeannette Pak-Fugate, RDH's National Provider Identifier is 1972192664, issued on Jan 16, 2021. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Larkspur, CO. The record was last updated on Jan 16, 2021.