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Kellie Renee Bergendahl, RDH
Dental Hygienist in Plummer, Idaho
NPI 1053563619

Kellie Renee Bergendahl is a Dental Hygienist based in Coeur D Alene, ID. Kellie Renee Bergendahl practices in Plummer, ID and has the professional credentials of RDH. The NPI Number for Kellie Renee Bergendahl is 1053563619 and holds a License No. DH2335 (Idaho).

The current practice location address for Kellie Renee Bergendahl is 427 12Th St, Plummer, ID and can be reached out via phone at 208-686-1931 and via fax at 208-686-5133.

Location: 427 12Th St, Plummer, ID, 83816-0994
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053563619
Provider Name
Kellie Renee Bergendahl
Credential
RDH
Provider Entity Type
Individual
Gender
Female
Address
427 12Th St, Plummer, ID, 83816-0994
Phone Number
208-686-1931
Fax Number
208-686-5133
Provider Enumeration Date
10/15/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RDH 20164 01 CA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
427 12Th St
City
Plummer
State
Idaho
Zip
83851-4000
Phone Number
208-686-1931
Fax Number
208-686-5133
person
Provider Business Mailing Address Details
Address
427 12Th St
City
Plummer
State
Idaho
Zip
83851-4000
Phone Number
208-686-1931
Fax Number
208-686-5133
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dental Hygienist
Speciality
-
Taxonomy
124Q00000X
License No.
DH2335 (Idaho)
Definition
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.
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