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Kathleen Marie Stack, RDH,MPH
Dental Hygienist in Willimantic, Connecticut
NPI 1073793675

Kathleen Marie Stack is a Dental Hygienist based in Mystic, CT. Kathleen Marie Stack practices in Willimantic, CT and has the professional credentials of RDH,MPH. The NPI Number for Kathleen Marie Stack is 1073793675 and holds a License No. 007004 (Connecticut).

The current practice location address for Kathleen Marie Stack is 1315 Main St, Willimantic, CT and can be reached out via phone at 860-450-7456 and via fax at 860-423-4629.

Location: 1315 Main St, Willimantic, CT, 06355-2439
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073793675
Provider Name
Kathleen Marie Stack
Credential
RDH,MPH
Provider Entity Type
Individual
Gender
Female
Address
1315 Main St, Willimantic, CT, 06355-2439
Phone Number
860-450-7456
Fax Number
860-423-4629
Provider Enumeration Date
11/12/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1315 Main St
City
Willimantic
State
Connecticut
Zip
06226-1948
Phone Number
860-450-7456
Fax Number
860-423-4629
person
Provider Business Mailing Address Details
Address
1315 Main St
City
Willimantic
State
Connecticut
Zip
06226-1948
Phone Number
860-450-7456
Fax Number
860-423-4629
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dental Hygienist
Speciality
-
Taxonomy
124Q00000X
License No.
007004 (Connecticut)
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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