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GRAND MESA DENTAL HYGIENE LLC NPI 1780034587


NPI Information

NPI: 1780034587
Provider Name: GRAND MESA DENTAL HYGIENE, LLC

Doing Business As: GRAND MESA DENTAL HYGIENE, LLC

Classification: Dental Hygienist - 124Q00000X
Entity Type: Organization
Address:
417 MEEKER ST
DELTA, CO
ZIP 81416
Phone: (970) 874-3801
Get Directions

GRAND MESA DENTAL HYGIENE, LLC is a dental hygienist in Delta, CO. 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. GRAND MESA DENTAL HYGIENE, LLC NPI is 1780034587. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Grand Mesa Dental Hygiene, Llc.

The provider's business location address is:

417 MEEKER ST
DELTA, CO
ZIP 81416-918
Phone: (970) 874-3801
Fax: (970) 874-3807

The provider's authorized official is Mary P Vigil .
The authorized official title is Owner and has the following contact phone number (970) 874-3801.

The enumeration date for this NPI number is 6/13/2016 and was last updated on 6/13/2016.


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 Hygienist904294COLORADOYes

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
149732048MEDICAIDCOLORADO

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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