Provider Demographics
NPI:1780096792
Name:HYGIENIST RECOMMENDED INC
Entity type:Organization
Organization Name:HYGIENIST RECOMMENDED INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:CANDICE
Authorized Official - Last Name:PIETRASZEWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:RDH
Authorized Official - Phone:248-496-7447
Mailing Address - Street 1:2790 12 MILE RD
Mailing Address - Street 2:
Mailing Address - City:BERKLEY
Mailing Address - State:MI
Mailing Address - Zip Code:48072-1630
Mailing Address - Country:US
Mailing Address - Phone:248-439-0088
Mailing Address - Fax:248-439-2900
Practice Address - Street 1:2790 12 MILE RD
Practice Address - Street 2:
Practice Address - City:BERKLEY
Practice Address - State:MI
Practice Address - Zip Code:48072-1630
Practice Address - Country:US
Practice Address - Phone:248-439-0088
Practice Address - Fax:248-439-2900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-25
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
122300000X, 251T00000X, 251V00000X, 261QD0000X
MI29010138101223G0001X
MI2902015237124Q00000X, 251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
No122300000XDental ProvidersDentistGroup - Multi-Specialty
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No124Q00000XDental ProvidersDental HygienistGroup - Multi-Specialty
No251K00000XAgenciesPublic Health or Welfare
No251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization
No251V00000XAgenciesVoluntary or CharitableGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1780096792Medicaid
MI20200151OtherMOBILE DENTAL PERMIT
MI7064138Medicaid
MIPA161OtherPA161 PERMIT