TINA GODISAK RDH
NPI 1316374200
Dental Hygienist in Telluride, CO

Active since October 09, 2013
220 E COLORADO AVE STE 106, TELLURIDE, CO 81435(719) 480-3822(888) 595-3242 Get Directions Write a Review

NPPES record last updated: October 9, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Dental Hygienist

About TINA GODISAK

This page provides the complete NPI Profile along with additional information for Tina Godisak, a provider established in Telluride, Colorado with a medical specialization in Dental Hygienist. The healthcare provider is registered in the NPI registry with number 1316374200 assigned on October 2013. The practitioner's primary taxonomy code is 124Q00000X with license number 904579 (CO). The provider is registered as an individual and her NPI record was last updated 13 years ago.

NPI
1316374200 Verify this NPI
Provider Name
TINA GODISAK RDH
Gender
Female
Entity Type
Individual
Location Address
220 E COLORADO AVE STE 106 TELLURIDE, CO 81435
Location Phone
(719) 480-3822
Location Fax
(888) 595-3242
Mailing Address
PO BOX 4222 TELLURIDE, CO 81435
Mailing Phone
(719) 480-3822
Mailing Fax
(888) 595-3242
Is Sole Proprietor?
No
Enumeration Date
10-09-2013
Last Update Date
10-09-2013
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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.
904579
License State
CO
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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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316374200, enumerated as an "individual" on October 09, 2013.

The provider is located at 220 E COLORADO AVE STE 106 TELLURIDE, CO 81435 and the phone number is (719) 480-3822.

Dental Hygienist with taxonomy code 124Q00000X.