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Ms. Mary Rachelle Broderick, RDH
Dental Hygienist in Appleton, New York
NPI 1134401490

Mary Rachelle Broderick is a Dental Hygienist based in Appleton, NY. Mary Rachelle Broderick practices in Appleton, NY and has the professional credentials of RDH. The NPI Number for Mary Rachelle Broderick is 1134401490 and holds a License No. 016112-1 (New York).

The current practice location address for Mary Rachelle Broderick is 6419 Lake Rd, Appleton, NY and can be reached out via phone at 716-297-0798 and via fax at 716-297-0998.

Location: 6419 Lake Rd, Appleton, NY, 14008-9606
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134401490
Provider Name
Mary Rachelle Broderick
Credential
RDH
Provider Entity Type
Individual
Gender
Female
Address
6419 Lake Rd, Appleton, NY, 14008-9606
Phone Number
716-297-0798
Fax Number
716-297-0998
Provider Enumeration Date
09/13/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
016112-1 01 NY NEW YORK STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
6419 Lake Rd
City
Appleton
State
New York
Zip
14008-9606
Phone Number
716-297-0798
Fax Number
716-297-0998
person
Provider Business Mailing Address Details
Address
6419 Lake Rd
City
Appleton
State
New York
Zip
14008-9606
Phone Number
716-297-0798
Fax Number
716-297-0998
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dental Hygienist
Speciality
-
Taxonomy
124Q00000X
License No.
016112-1 (New York)
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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