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THE TRAVELING TOOTH STATION NPI 1063615300


NPI Information

NPI: 1063615300
Provider Name: THE TRAVELING TOOTH STATION
Classification: Dental Hygienist - 124Q00000X
Entity Type: Organization
Address:
30704 HUNTSMAN DR E
FARMINGTON HILLS, MI
ZIP 48331
Phone: (313) 244-3498
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THE TRAVELING TOOTH STATION is a dental hygienist in Farmington Hills, MI. 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 TRAVELING TOOTH STATION NPI is 1063615300. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

30704 HUNTSMAN DR E
FARMINGTON HILLS, MI
ZIP 48331-378
Phone: (313) 244-3498

The provider's authorized official is Melanie D Colbert .
The authorized official title is Owner and has the following contact phone number (313) 244-3498.

The enumeration date for this NPI number is 6/6/2007 and was last updated on 8/17/2015.


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 HygienistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11063615300MEDICAIDMICHIGAN

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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