KAYLEE MICHELE DERUSHA RDH
NPI 1235815671
Dental Hygienist in Newberry, MI

Q: What is Kaylee Derusha's NPI number?

The NPI number for Kaylee Derusha is 1235815671. It was assigned to this individual provider in the NPPES registry on June 22, 2023.

Q: What is Kaylee Derusha's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kaylee Derusha was last updated on June 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 22, 2023

14150 HAMILTON LAKE RD, NEWBERRY, MI 49868(906) 293-5107 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kaylee Michele Derusha Rdh NPPES

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

KAYLEE MICHELE DERUSHA RDH (NPI 1235815671) is an individual dental hygienist in Newberry, Michigan, licensed in Michigan (2902019413) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1235815671

Entity TypeIndividualFemale

Primary Taxonomy124Q00000X

Provider Legal NameKAYLEE MICHELE DERUSHACredential: RDH

Location Address14150 HAMILTON LAKE RDNewberry, MI 49868

Mailing Address14150 Hamilton Lake RdNewberry, MI 49868

Phone(906) 293-5107

Sole ProprietorNo

Enumeration DateJune 22, 2023

NPPES CertifiedJune 12, 2023

✔ NPI 1235815671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers

Taxonomy Code124Q00000X

License✔ Licensed in MI · 2902019413

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.

14150 HAMILTON LAKE RD, Newberry, MI 49868

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Other Providers at the Same Location NPPES

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

GRACE HILDEBRANT

Community Health Worker

14150 HAMILTON LAKE RD
NEWBERRY, MI 49868

Luce County (906) 293-5107

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 Kaylee Derusha's NPI number?

The NPI number for Kaylee Derusha is 1235815671. It was assigned to this individual provider in the NPPES registry on June 22, 2023.

Where is Kaylee Derusha located?

Kaylee Derusha practices at 14150 Hamilton Lake Rd, Newberry, MI 49868. The listed phone number is (906) 293-5107.

What is Kaylee Derusha'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 Kaylee Derusha was last updated on June 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.