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Kori Marie Richardson, RDH
Dental Hygienist in Goshen, Indiana
NPI 1134799935

Kori Marie Richardson is a Dental Hygienist based in Granger, IN. Kori Marie Richardson practices in Goshen, IN and has the professional credentials of RDH. The NPI Number for Kori Marie Richardson is 1134799935 and holds a License No. 13008766A (Indiana).

The current practice location address for Kori Marie Richardson is 57250 Alpha Dr, Goshen, IN and can be reached out via phone at 574-875-3817.

Location: 57250 Alpha Dr, Goshen, IN, 46530-1309
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134799935
Provider Name
Kori Marie Richardson
Credential
RDH
Provider Entity Type
Individual
Gender
Female
Address
57250 Alpha Dr, Goshen, IN, 46530-1309
Phone Number
574-875-3817
Fax Number
Provider Enumeration Date
06/25/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
13008766A 01 IN DENTAL HYGIENE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
57250 Alpha Dr
City
Goshen
State
Indiana
Zip
46528-7804
Phone Number
574-875-3817
Fax Number
person
Provider Business Mailing Address Details
Address
57250 Alpha Dr
City
Goshen
State
Indiana
Zip
46528-7804
Phone Number
574-875-3817
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dental Hygienist
Speciality
-
Taxonomy
124Q00000X
License No.
13008766A (Indiana)
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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