ALEXIS LEIGH CARRILLO-HOLGUIN RDHAP
NPI 1184286304
Advanced Practice Dental Therapist in San Diego, CA

Q: What is Alexis Carrillo-holguin's NPI number?

The NPI number for Alexis Carrillo-holguin is 1184286304. It was assigned to this individual provider in the NPPES registry on July 8, 2019.

Q: What is Alexis Carrillo-holguin's specialty?

The primary specialty registered for this NPI is Advanced Practice Dental Therapist with taxonomy code 125K00000X.

Active since July 08, 2019

501 W BROADWAY STE 800, SAN DIEGO, CA 92101(619) 368-0053 Get Directions Write a Review

NPPES record last updated: July 8, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Alexis Leigh Carrillo-holguin Rdhap NPPES

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

ALEXIS LEIGH CARRILLO-HOLGUIN RDHAP (NPI 1184286304) is an individual advanced practice dental therapist in San Diego, California, licensed in California (HAP741) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1184286304

Entity TypeIndividualFemale

Primary Taxonomy125K00000X

Provider Legal NameALEXIS LEIGH CARRILLO-HOLGUINCredential: RDHAP

Location Address501 W BROADWAY STE 800San Diego, CA 92101-3546

Mailing Address501 W Broadway Ste 800San Diego, CA 92101-3546 · (619) 368-0053

Phone(619) 368-0053

Sole ProprietorYes

Enumeration DateJuly 8, 2019

✔ NPI 1184286304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice Dental TherapistDental Providers

Taxonomy Code125K00000X

License✔ Licensed in CA · HAP741

Definition

An Advanced Practice Dental Therapist is:
(1) A dental therapist who has completed additional training beyond basic dental therapy education and provides dental services in accordance with state advanced practice dental therapist laws or statutes; or
(2) A dental hygienist with a graduate degree in advanced dental therapy prepared for independent and interdependent decision making and direct accountability for clinical judgment across the dental health care continuum.

The individual has been authorized by the relevant state board or a tribal entity to provide services under the remote supervision of a dentist. The functions of the advanced practice dental therapist vary based on the needs of the dentist, the educational preparation of the advanced practice dental therapist and state dental practice acts and regulations.

501 W BROADWAY STE 800, San Diego, CA 92101

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