MRS. MARY ANN SOUTHERLAN RDH, PHDH
NPI 1235732579
Dental Hygienist in Lincoln, IL
- Individual
- Female
- Dental Hygienist
About MARY SOUTHERLAN
This page provides the complete NPI Profile along with additional information for Mary Southerlan, a provider established in Lincoln, Illinois with a medical specialization in Dental Hygienist. The healthcare provider is registered in the NPI registry with number 1235732579 assigned on November 2020. The practitioner's primary taxonomy code is 124Q00000X with license number 020-004826 (IL). The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1235732579 Verify this NPI
- Provider Name
- MRS. MARY ANN SOUTHERLAN RDH, PHDH
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 109 3RD ST LINCOLN, IL 62656
- Location Phone
- (217) 735-2317
- Mailing Address
- 109 3RD ST LINCOLN, IL 62656
- Mailing Phone
- (217) 735-2317
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-19-2020
- Last Update Date
- 11-19-2020
- 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.
- 020-004826
- 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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Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
LINCOLN, IL 62656
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235732579, enumerated as an "individual" on November 19, 2020.
The provider is located at 109 3RD ST LINCOLN, IL 62656 and the phone number is (217) 735-2317.
Dental Hygienist with taxonomy code 124Q00000X.
