MS. LYNDA H BUSDOSH, RDH - NPI NUMBER 1427392232

Summary

Provider Name: MS. LYNDA H BUSDOSH, RDH

NPI Number: 1427392232

Clasification: Dental Hygienist (124Q00000X)

Address:
BLDG 171, 4TH AND INNER LOOP RD
FORT IRWIN DENTAL CLINIC COMMAND
FORT IRWIN, CA
ZIP 92310

Phone Number: (760) 380-4990



Detailed Information

MS. Lynda H Busdosh, RDH is a dental hygienist in Fort Irwin, CA. The provider is 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 regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. The assigned NPI number for this provider is 1427392232 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

BLDG 171, 4TH AND INNER LOOP RD
FORT IRWIN DENTAL CLINIC COMMAND
FORT IRWIN, CA
ZIP 92310-076
Phone: (760) 380-4990
Fax: (760) 380-4996

The enumeration date for this NPI number is 11/16/2012 and was last updated on 11/16/2012.

Map - Location of Practice

Similar Providers

NPI Provider Name / Taxonomy
1417383779 DEANNA M SOTO, RDH
Dental Hygienist





Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 124Q00000X Dental Hygienist RDH 14692 CA Yes

NPI Record

No. Field Name Field Value
1 NPI 1427392232
2 Entity Type Code 1
3 Provider Last Name Legal Name BUSDOSH
4 Provider First Name LYNDA
5 Provider Middle Name H
6 Provider Name Prefix Text MS.
7 Provider Credential Text RDH
8 Provider First Line Business Practice Location Address BLDG 171, 4TH AND INNER LOOP RD
9 Provider Second Line Business Practice Location Address FORT IRWIN DENTAL CLINIC COMMAND
10 Provider Business Practice Location Address City Name FORT IRWIN
11 Provider Business Practice Location Address State Name CA
12 Provider Business Practice Location Address Postal Code 923105076
13 Provider Business Practice Location Address Country Code If outside U S US
14 Provider Business Practice Location Address Telephone Number 7603804990
15 Provider Business Practice Location Address Fax Number 7603804996
16 Provider Enumeration Date 11/16/2012
17 Last Update Date 11/16/2012
18 Provider Gender Code F
19 Healthcare Provider Taxonomy Code 1 124Q00000X
20 Provider License Number 1 RDH 14692
21 Provider License Number State Code 1 CA
22 Healthcare Provider Primary Taxonomy Switch 1 Y
23 Is Sole Proprietor N

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This page was last updated on: 11/14/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.