RDHAP Alexis Leigh Carrillo-holguin, NPI 1184286304
Advanced Practice Dental Therapist in San Diego, CA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1184286304
NPI Entity Type Individual
Provider Name RDHAP Alexis Leigh Carrillo-holguin
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 501 W Broadway Ste 800, San Diego, CA, US
Provider Mailing Address 501 W Broadway Ste 800, San Diego, CA, US, 921013546
Is Sole Proprietor? Yes
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Primary Taxonomy

Taxonomy Code

125K00000X

Taxonomy Name Advanced Practice Dental Therapist
Classification

Advanced Practice Dental Therapist

Group

Dental Providers

License No. HAP741
License State CA
Description An Advanced Practice Dental Therapist is:
(1) A dental therapist who has completed additional training beyond basic dental therapy education and provides dental services in accordance with state advanced practice dental therapist laws or statutes; or
(2) A dental hygienist with a graduate degree in advanced dental therapy prepared for independent and interdependent decision making and direct accountability for clinical judgment across the dental health care continuum.
The individual has been authorized by the relevant state board or a tribal entity to provide services under the remote supervision of a dentist. The functions of the advanced practice dental therapist vary based on the needs of the dentist, the educational preparation of the advanced practice dental therapist and state dental practice acts and regulations.

Business Address

RDHAP Alexis Leigh Carrillo-holguin
501 W Broadway Ste 800

San Diego, CA, US

Phone: 619-368-0053

Mailing Address

RDHAP Alexis Leigh Carrillo-holguin
501 W Broadway Ste 800
San Diego, CA, US
ZIP 921013546
Phone: 619-368-0053

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