CORLISS KELLY HALES RDH
NPI 1578834792
Dental Hygienist in Peoria, AZ

Active since January 19, 2012
15182 N. 75TH AVE, PEORIA, AZ 85381(623) 878-2400 Get Directions Write a Review

NPPES record last updated: January 19, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Corliss Kelly Hales Rdh NPPES

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

CORLISS KELLY HALES RDH (NPI 1578834792) is an individual dental hygienist in Peoria, Arizona, licensed in Arizona (H6119) and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1578834792
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameCORLISS KELLY HALESCredential: RDH
Location Address15182 N. 75TH AVEPeoria, AZ 85381
Mailing Address15182 N. 75th Ave.Peoria, AZ 85381 · (623) 878-2400
Sole ProprietorNo
Enumeration DateJanuary 19, 2012
NPI 1578834792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
Licenses Licensed in AZ · H6119 Licensed in OR · H3927
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.
15182 N. 75TH AVE, Peoria, AZ 85381

Other Names 1

Former Name (1)Corliss Kelly Putignano Rdh

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 Corliss Hales's NPI number?

The NPI number for Corliss Hales is 1578834792. It was assigned to this individual provider in the NPPES registry on January 19, 2012. The provider is also known as Corliss Kelly Putignano Rdh.

Where is Corliss Hales located?

Corliss Hales practices at 15182 N. 75th Ave, Peoria, AZ 85381. The listed phone number is (623) 878-2400.

What is Corliss Hales'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 Corliss Hales was last updated on January 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.