KYLIE JANAE MIX RDH NPI 1699387480

NPI Information

  • NPI: 1699387480
  • Provider Name: KYLIE JANAE MIX, RDH
  • Classification: Dental Hygienist - 124Q00000X
  • Entity Type: Individual
  • Address: 10767 E TRAVERSE HWY
    TRAVERSE CITY, MI
    ZIP 49684
  • Phone: (231) 947-1112

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NPI Details

Kylie Janae Mix, RDH is a dental hygienist in Traverse City, 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. Kylie Janae Mix, RDH NPI is 1699387480. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10767 E TRAVERSE HWY
TRAVERSE CITY, MI
ZIP 49684-219
Phone: (231) 947-1112
Fax: (231) 947-7739

The enumeration date for this NPI number is 8/21/2020 and was last updated on 8/21/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1124Q00000XDental Hygienist2902012893MICHIGANYes

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: 3/30/2025

NPI Synchronization or Removal

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