ANDREA LYNNE MALCOM DH
NPI 1528213121
Dental Hygienist in Omaha, NE

Q: What is the provider's specialty?

The provider's specialty is Dental Hygienist with taxonomy code 124Q00000X.

Active since November 24, 2008

4920 SOUTH 30TH STREET, SUITE 103, OMAHA, NE 68107(402) 734-4110(402) 952-1020 Get Directions Write a Review

NPPES record last updated: September 2, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Andrea Lynne Malcom Dh NPPES

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

ANDREA LYNNE MALCOM DH (NPI 1528213121) is an individual dental hygienist in Omaha, Nebraska, licensed in Nebraska (2000) and active in the NPI registry since November 2008.

NPPES Registry Identity

NPI1528213121

Entity TypeIndividualFemale

Primary Taxonomy124Q00000X

Provider Legal NameANDREA LYNNE MALCOMCredential: DH

Location Address4920 SOUTH 30TH STREET, SUITE 103Omaha, NE 68107-1656

Mailing Address4920 S 30th St, Suite 103Omaha, NE 68107-1590 · (402) 734-4110 · Fax (402) 952-1020

Phone(402) 734-4110

Fax(402) 952-1020

Sole ProprietorNo

Enumeration DateNovember 24, 2008

Last NPPES UpdateSeptember 2, 2022

NPPES CertifiedSeptember 2, 2022

✔ NPI 1528213121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers

Taxonomy Code124Q00000X

License✔ Licensed in NE · 2000

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.

4920 SOUTH 30TH STREET, Omaha, NE 68107

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