NPI 1063623510

Johanna Thiesen-Root, RDH

Practitioner Dental Hygienist Albany, NY

Practice location

Address: 314 S Manning Blvd, Albany, NY 12208-1708
Phone: (518) 453-2273

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 022336 (NY)

Other Dental Hygienist providers in New York →

Registry record

NPI: 1063623510
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.