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MRS. KELLY LORAINE HENRIQUEZ RDH
NPI 1174282123
Dental Hygienist in Stockton, CA

Active since December 16, 2021
883 W MARCH LN, STOCKTON, CA 95207(209) 636-5555 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 20, 2021, Dec 16, 2021 (2 updates tracked since 2021).

About Mrs. Kelly Loraine Henriquez Rdh NPPES

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

MRS. KELLY LORAINE HENRIQUEZ RDH (NPI 1174282123) is an individual dental hygienist in Stockton, California, licensed in California (34146) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1174282123
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameMRS. KELLY LORAINE HENRIQUEZCredential: RDH
Location Address883 W MARCH LNStockton, CA 95207
Mailing Address828 N D StStockton, CA 95205-4323 · (510) 586-4960
Phone(209) 636-5555
Sole ProprietorNo
Enumeration DateDecember 16, 2021
Last NPPES UpdateDecember 20, 20212 updates tracked since enumeration
NPPES CertifiedDecember 16, 2021
✔ NPI 1174282123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License✔ Licensed in CA · 34146
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.
883 W MARCH LN, Stockton, CA 95207
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Henriquez's NPI number?

The NPI number for Kelly Henriquez is 1174282123. It was assigned to this individual provider in the NPPES registry on December 16, 2021.

Where is Kelly Henriquez located?

Kelly Henriquez practices at 883 W March Ln, Stockton, CA 95207. The listed phone number is (209) 636-5555.

What is Kelly Henriquez's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelly Henriquez was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.