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DIVERSIFIED MOBILE SMILES NPI 1902007826


NPI Information

NPI: 1902007826
Provider Name: DIVERSIFIED MOBILE SMILES
Classification: Dental Hygienist - 124Q00000X
Entity Type: Organization
Address:
3016 SAN JOSE AVE
ALAMEDA, CA
ZIP 94501
Phone: (510) 227-5804
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DIVERSIFIED MOBILE SMILES is a dental hygienist in Alameda, 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. DIVERSIFIED MOBILE SMILES NPI is 1902007826. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3016 SAN JOSE AVE
ALAMEDA, CA
ZIP 94501-834
Phone: (510) 227-5804
Fax: (510) 227-5804

The provider's authorized official is Vicki Harris .
The authorized official title is Owner President and has the following contact phone number (510) 227-5804.

The enumeration date for this NPI number is 5/29/2007 and was last updated on 2/13/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1124Q00000XDental HygienistRDHAP44CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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