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

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: August 16, 2026.

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
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

Other Providers at the Same Location NPPES 13

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

Physician Assistant
4920 SOUTH 30TH STREET, SUITE 103
OMAHA, NE 68107
Marriage & Family Therapist
4920 SOUTH 30TH STREET, SUITE 103
OMAHA, NE 68107
Dentist
4920 SOUTH 30TH STREET, SUITE 103
OMAHA, NE 68107
Dentist
4920 SOUTH 30TH STREET, SUITE 103
OMAHA, NE 68107
Dental Hygienist
4920 SOUTH 30TH STREET, SUITE 103
OMAHA, NE 68107
Dentist
4920 SOUTH 30TH STREET, SUITE 103
OMAHA, NE 68107
Dentist (General Practice)
4920 SOUTH 30TH STREET, SUITE 103
OMAHA, NE 68107
Counselor (Mental Health)
4920 SOUTH 30TH STREET, SUITE 103
OMAHA, NE 68107

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 Andrea Malcom's NPI number?

The NPI number for Andrea Malcom is 1528213121. It was assigned to this individual provider in the NPPES registry on November 24, 2008.

Where is Andrea Malcom located?

Andrea Malcom practices at 4920 South 30th Street Suite 103, Omaha, NE 68107. The listed phone number is (402) 734-4110.

What is Andrea Malcom'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 Andrea Malcom was last updated on September 2, 2022. 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.