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Maelisa B Rider
Dental Hygienist in Las Animas, Colorado
NPI 1619561701

Maelisa B Rider is a Dental Hygienist based in Las Animas, CO. Maelisa B Rider practices in Las Animas, CO. The NPI Number for Maelisa B Rider is 1619561701 and holds a License No. 2025220 (Colorado).

The current practice location address for Maelisa B Rider is 245 Vine Ave, Las Animas, CO and can be reached out via phone at 719-456-2653.

Location: 245 Vine Ave, Las Animas, CO, 81054-1039
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619561701
Provider Name
Maelisa B Rider
Credential
Provider Entity Type
Individual
Gender
Female
Address
245 Vine Ave, Las Animas, CO, 81054-1039
Phone Number
719-456-2653
Fax Number
Provider Enumeration Date
03/01/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2025220 01 CO LICENSURE
institution
Provider Business Practice Location Address Details
Address
245 Vine Ave
City
Las Animas
State
Colorado
Zip
81054-1039
Phone Number
719-456-2653
Fax Number
person
Provider Business Mailing Address Details
Address
245 Vine Ave
City
Las Animas
State
Colorado
Zip
81054-1039
Phone Number
719-456-2653
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dental Hygienist
Speciality
-
Taxonomy
124Q00000X
License No.
2025220 (Colorado)
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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