KAISER PERMANENTE DENTAL CARE PROGRAM - NPI 1043224678

Q: What is Kaiser Permanente Dental Care Program's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

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About Kaiser Permanente Dental Care Program NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAISER PERMANENTE DENTAL CARE PROGRAM (NPI 1043224678) is a healthcare organization registered as a dental hygienist in Vancouver, Washington and active in the NPI registry since July 2006. The organization lists Jodeen Callaghan, Professional Director, Cascade Park, as its authorized official.

NPPES Registry Identity

NPI1043224678

Entity TypeOrganization

Primary Taxonomy124Q00000X

Legal Business NameKAISER PERMANENTE DENTAL CARE PROGRAM

Location Address12711 SE MILL PLAIN BLVDVancouver, WA 98684-6053

Mailing Address510 W 34th StVancouver, WA 98660-1811 · (360) 695-7208

Phone(360) 896-4484

Organization SubpartNo

Authorized OfficialJodeen CallaghanProfessional Director, Cascade Park · (360) 896-4484

Enumeration DateJuly 28, 2006

Last NPPES UpdateMay 24, 20212 updates tracked since enumeration

NPPES CertifiedMay 24, 2021

✔ NPI 1043224678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers

Taxonomy Code124Q00000X

License✔ Licensed in WA · DH00004025

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.

12711 SE MILL PLAIN BLVD, Vancouver, WA 98684

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SVETLANA ANENKO

Dental Assistant