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Mrs. Samantha Anne Nicolello, RDH
Specialist in Meridian, Idaho
NPI 1124736723

Samantha Anne Nicolello is a Specialist based in Meridian, ID. Samantha Anne Nicolello practices in Meridian, ID and has the professional credentials of RDH. The NPI Number for Samantha Anne Nicolello is 1124736723 and holds a License No. DH-3204 (Idaho).

The current practice location address for Samantha Anne Nicolello is 4044 N Legacy Woods Ave, Meridian, ID and can be reached out via phone at 208-871-0760.

Location: 4044 N Legacy Woods Ave, Meridian, ID, 83646-4480
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124736723
Provider Name
Samantha Anne Nicolello
Credential
RDH
Provider Entity Type
Individual
Gender
Female
Address
4044 N Legacy Woods Ave, Meridian, ID, 83646-4480
Phone Number
208-871-0760
Fax Number
Provider Enumeration Date
11/11/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4044 N Legacy Woods Ave
City
Meridian
State
Idaho
Zip
83646-4480
Phone Number
208-871-0760
Fax Number
person
Provider Business Mailing Address Details
Address
4044 N Legacy Woods Ave
City
Meridian
State
Idaho
Zip
83646-4480
Phone Number
208-871-0760
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dental Hygienist
Speciality
-
Taxonomy
124Q00000X
License No.
DH-3204 (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.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
DH-3204 (Idaho)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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