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Ms. Marissa Anne Fanelli, RDH
Dental Hygienist in Newark, New Jersey
NPI 1750650859

Marissa Anne Fanelli is a Dental Hygienist based in Rutherford, NJ. Marissa Anne Fanelli practices in Newark, NJ and has the professional credentials of RDH. The NPI Number for Marissa Anne Fanelli is 1750650859 and holds a License No. 22HI00901200 (New Jersey).

The current practice location address for Marissa Anne Fanelli is 741 Broadway, Newark, NJ and can be reached out via phone at 973-483-1300 and via fax at 973-483-3787. You can also correspond with Marissa Anne Fanelli through the mailing address at 430 EDGEWOOD PL, RUTHERFORD, NJ - 07070-2662 (mailing address contact number: 201-562-8844).

Location: 741 Broadway, Newark, NJ, 07070-2662
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750650859
Provider Name
Marissa Anne Fanelli
Credential
RDH
Provider Entity Type
Individual
Gender
Female
Address
741 Broadway, Newark, NJ, 07070-2662
Phone Number
973-483-1300
Fax Number
973-483-3787
Provider Enumeration Date
12/19/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
22HI00901200 01 NJ RDH LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
741 Broadway
City
Newark
State
New Jersey
Zip
07104-4309
Phone Number
973-483-1300
Fax Number
973-483-3787
person
Provider Business Mailing Address Details
Address
430 Edgewood Pl
City
Rutherford
State
New Jersey
Zip
07070-2662
Phone Number
201-562-8844
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dental Hygienist
Speciality
-
Taxonomy
124Q00000X
License No.
22HI00901200 (New Jersey)
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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