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KAISER PERMANENTE DENTAL CARE PROGRAM NPI 1043224678


NPI Information

NPI: 1043224678
Provider Name: KAISER PERMANENTE DENTAL CARE PROGRAM
Classification: Dental Hygienist - 124Q00000X
Entity Type: Organization

CLIA Number: 50D0668647

Address:
12711 SE MILL PLAIN BLVD
VANCOUVER, WA
ZIP 98684
Phone: (360) 896-4484
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KAISER PERMANENTE DENTAL CARE PROGRAM is a dental hygienist in Vancouver, WA. 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. KAISER PERMANENTE DENTAL CARE PROGRAM NPI is 1043224678. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12711 SE MILL PLAIN BLVD
VANCOUVER, WA
ZIP 98684-053
Phone: (360) 896-4484

The provider's authorized official is Jodeen Callaghan .
The authorized official title is Professional Director, Cascade Park and has the following contact phone number (360) 896-4484.

The CLIA number assigned to this NPI record is 50D0668647 - health main. organization with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/28/2006 and was last updated on 5/24/2021.


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 HygienistDH00004025WASHINGTONYes

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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