Individual provider · Type 1 NPI

Kelly G. Pottorf, HYGIENST

Dental Hygienist · St. Louis, MO

NPI number 1992008213 Active

Practice location

1717 Biddle St
St. Louis, MO 63106-3454

Call (314) 898-1717 Map

Fax (314) 814-8542

Mailing address

1717 Biddle
St. Louis, MO 63107

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X2009007073 (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 1992008213

Kelly G. Pottorf, HYGIENST's National Provider Identifier is 1992008213, issued on Dec 8, 2010. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in St. Louis, MO. The record was last updated on Dec 8, 2010.