LEIGHA KAYE CLARK RDH
NPI 1033484514
Dental Hygienist in Sesser, IL
- Individual
- Female
- Dental Hygienist
About LEIGHA CLARK
This page provides the complete NPI Profile along with additional information for Leigha Clark, a provider established in Sesser, Illinois with a medical specialization in Dental Hygienist. The healthcare provider is registered in the NPI registry with number 1033484514 assigned on March 2012. The practitioner's primary taxonomy code is 124Q00000X with license number 020011274 (IL). The provider is registered as an individual and her NPI record was last updated 14 years ago.
- NPI
- 1033484514 Verify this NPI
- Provider Name
- LEIGHA KAYE CLARK RDH
- Other Name
- LEIGHA KAYE GAJEWSKI RDH
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 6294 STATE HIGHWAY 154 SESSER, IL 62884
- Location Phone
- (618) 625-6679
- Location Fax
- (618) 625-5362
- Mailing Address
- PO BOX 155 CHRISTOPHER, IL 62822
- Mailing Phone
- (618) 724-2436
- Mailing Fax
- (618) 724-2571
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-15-2012
- Last Update Date
- 03-15-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dental Hygienist
- Taxonomy Code
- 124Q00000X
- Type
- Dental Providers
- License No.
- 020011274
- License State
- IL
- Taxonomy Description
- 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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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033484514, enumerated as an "individual" on March 15, 2012.
The provider is located at 6294 STATE HIGHWAY 154 SESSER, IL 62884 and the phone number is (618) 625-6679.
Dental Hygienist with taxonomy code 124Q00000X.
