Organization · Type 2 NPI

Idaho State University

Dental Hygienist · Pocatello, ID

NPI number 1972720936 Active

Practice location

999 Martin Luther King Jr. Way
Pocatello, ID 83209-8048

Fax (208) 282-5355

Mailing address

921 S. 8th Ave., Stop 8048
Pocatello, ID 83209-8048

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XNone listed

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 1972720936

Idaho State University's National Provider Identifier is 1972720936, issued on Apr 19, 2007. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Pocatello, ID. The record was last updated on Aug 22, 2020.