MELISSA DEROUSSE NPI 1396079505

NPI Information

  • NPI: 1396079505
  • Provider Name: MELISSA DEROUSSE
  • Classification: Dental Hygienist - 124Q00000X
  • Entity Type: Individual
  • Address: 1 SOUTHTOWNE DR
    POTOSI, MO
    ZIP 63664
  • Phone: (573) 438-9355

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NPI Details

Melissa Derousse is a dental hygienist in Potosi, MO. The provider is 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. Melissa Derousse NPI is 1396079505. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 SOUTHTOWNE DR
POTOSI, MO
ZIP 63664-729
Phone: (573) 438-9355

The enumeration date for this NPI number is 9/22/2009 and was last updated on 9/22/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1124Q00000XDental Hygienist2004003161MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12004003161OTHERMISSOURILICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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