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Mrs. Kelly Anne Mack, RD4
Dental Hygienist in Wheaton, Illinois
NPI 1245308899

Kelly Anne Mack is a Dental Hygienist based in Roselle, IL. Kelly Anne Mack practices in Wheaton, IL and has the professional credentials of RD4. The NPI Number for Kelly Anne Mack is 1245308899 and holds a License No. (Illinois).

The current practice location address for Kelly Anne Mack is 55 E Loop Rd, Wheaton, IL and can be reached out via phone at 630-653-8899. You can also correspond with Kelly Anne Mack through the mailing address at 621 GLACIER TRAIL, ROSELLE, IL - 60172 (mailing address contact number: 630-980-0992).

Location: 55 E Loop Rd, Wheaton, IL, 60172
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245308899
Provider Name
Kelly Anne Mack
Credential
RD4
Provider Entity Type
Individual
Gender
Female
Address
55 E Loop Rd, Wheaton, IL, 60172
Phone Number
630-653-8899
Fax Number
Provider Enumeration Date
12/01/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
55 E Loop Rd
City
Wheaton
State
Illinois
Zip
60187
Phone Number
630-653-8899
Fax Number
person
Provider Business Mailing Address Details
Address
55 E Loop Rd
City
Wheaton
State
Illinois
Zip
60187
Phone Number
630-653-8899
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dental Hygienist
Speciality
-
Taxonomy
124Q00000X
License No.
(Illinois)
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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