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Mary Clifford, RDH
Dental Hygienist in Kenosha, Wisconsin
NPI 1922398387

Mary Clifford is a Dental Hygienist based in Kenosha, WI. Mary Clifford practices in Kenosha, WI and has the professional credentials of RDH. The NPI Number for Mary Clifford is 1922398387 and holds a License No. 5460-16 (Wisconsin).

The current practice location address for Mary Clifford is 6226 14Th Ave, Kenosha, WI and can be reached out via phone at 262-656-0044 and via fax at 262-764-3636. You can also correspond with Mary Clifford through the mailing address at 625 57TH ST, KENOSHA, WI - 53140-4146 (mailing address contact number: 262-764-3622).

Location: 6226 14Th Ave, Kenosha, WI, 53140-4146
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922398387
Provider Name
Mary Clifford
Credential
RDH
Provider Entity Type
Individual
Gender
Female
Address
6226 14Th Ave, Kenosha, WI, 53140-4146
Phone Number
262-656-0044
Fax Number
262-764-3636
Provider Enumeration Date
04/19/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1922398387 05 WI
institution
Provider Business Practice Location Address Details
Address
6226 14Th Ave
City
Kenosha
State
Wisconsin
Zip
53143-4413
Phone Number
262-656-0044
Fax Number
262-764-3636
person
Provider Business Mailing Address Details
Address
6226 14Th Ave
City
Kenosha
State
Wisconsin
Zip
53143-4413
Phone Number
262-656-0044
Fax Number
262-764-3636
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dental Hygienist
Speciality
-
Taxonomy
124Q00000X
License No.
5460-16 (Wisconsin)
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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