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Lisa Costello, DENTALHYGIENIST
Dental Hygienist in Grand Haven, Michigan
NPI 1760855225

Lisa Costello is a Dental Hygienist based in Grand Haven, MI. Lisa Costello practices in Grand Haven, MI and has the professional credentials of DENTALHYGIENIST. The NPI Number for Lisa Costello is 1760855225 and holds a License No. 2902011931 (Michigan).

The current practice location address for Lisa Costello is 326 N. Ferry St, Grand Haven, MI and can be reached out via phone at 616-846-2701 and via fax at 616-246-8009.

Location: 326 N. Ferry St, Grand Haven, MI, 49417
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760855225
Provider Name
Lisa Costello
Credential
DENTALHYGIENIST
Provider Entity Type
Individual
Gender
Female
Address
326 N. Ferry St, Grand Haven, MI, 49417
Phone Number
616-846-2701
Fax Number
616-246-8009
Provider Enumeration Date
11/05/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
326 N. Ferry St
City
Grand Haven
State
Michigan
Zip
49417
Phone Number
616-846-2701
Fax Number
616-246-8009
person
Provider Business Mailing Address Details
Address
326 N. Ferry St
City
Grand Haven
State
Michigan
Zip
49417
Phone Number
616-846-2701
Fax Number
616-246-8009
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dental Hygienist
Speciality
-
Taxonomy
124Q00000X
License No.
2902011931 (Michigan)
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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