MRS. ELISA DACK RDH
NPI 1508579384
Dental Hygienist in West Branch, MI

Active since December 27, 2022
630 PROGRESS ST, WEST BRANCH, MI 48661(989) 345-5020 Get Directions Write a Review

NPPES record last updated: December 27, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Elisa Dack Rdh NPPES

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

MRS. ELISA DACK RDH (NPI 1508579384) is an individual dental hygienist in West Branch, Michigan, licensed in Michigan (2902012908) and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1508579384
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameMRS. ELISA DACKCredential: RDH
Location Address630 PROGRESS STWest Branch, MI 48661-8603
Mailing AddressPo Box 806West Branch, MI 48661-0806 · (989) 965-1652
Sole ProprietorYes
Enumeration DateDecember 27, 2022
NPPES CertifiedDecember 27, 2022
NPI 1508579384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License Licensed in MI · 2902012908
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.

630 PROGRESS ST, West Branch, MI 48661

Other Providers at the Same Location NPPES 11

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

Public Health or Welfare
630 PROGRESS ST
WEST BRANCH, MI 48661
Home Health
630 PROGRESS ST
WEST BRANCH, MI 48661
Public Health or Welfare
630 PROGRESS ST
WEST BRANCH, MI 48661
Public Health or Welfare
630 PROGRESS ST
WEST BRANCH, MI 48661
Public Health or Welfare
630 PROGRESS ST
WEST BRANCH, MI 48661
Public Health or Welfare
630 PROGRESS ST
WEST BRANCH, MI 48661
Public Health or Welfare
630 PROGRESS ST
WEST BRANCH, MI 48661
Nurse Practitioner (Family)
630 PROGRESS ST
WEST BRANCH, MI 48661

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508579384, enumerated as an "individual" on December 27, 2022.

The provider is located at 630 PROGRESS ST WEST BRANCH, MI 48661 and the phone number is (989) 345-5020.

Dental Hygienist with taxonomy code 124Q00000X.