MS. SUSAN G. DRAGOO RDHAP NPI 1003010190

Dental Hygienist in Rancho Palos Verdes, CA

About SUSAN DRAGOO

Susan Dragoo is a provider in Rancho Palos Verdes, CA. The NPI number assigned to this provider is 1003010190. The practitioner's primary taxonomy code is Dental Hygienist (124Q00000X). The provider is registered as an individual and their NPI record was last updated 11 years ago.

NPI1003010190 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameMS. SUSAN G. DRAGOO RDHAP
Provider Location Address28833 GUNTER RD RANCHO PALOS VERDES, CA 90275 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address28833 GUNTER RD RANCHO PALOS VERDES, CA 90275 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?Yes
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date06-12-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date07-08-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

MS. SUSAN G. DRAGOO RDHAP
28833 GUNTER RD
RANCHO PALOS VERDES, CA
ZIP 90275
Phone: (310) 847-9293
Fax: (310) 831-0575
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Mailing Address

MS. SUSAN G. DRAGOO RDHAP
28833 GUNTER RD
RANCHO PALOS VERDES, CA
ZIP 90275
Phone: (310) 847-9293
Fax: (310) 831-0575

Primary Taxonomy

Taxonomy Code124Q00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationDental Hygienist
TypeDental Providers
License No.180
License StateCA
Taxonomy DescriptionAn 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.

Map Location


MS. SUSAN G. DRAGOO RDHAP address is 28833 GUNTER RD RANCHO PALOS VERDES, CA 90275