Suggestion:
Hi, I'm a dentist.
A dental hygienist must practice under a dentist's license in almost every state in the union. I believe the exception is rural parts of one of the Dakotas and possibly Alaska as well for the Inuit population, as there are very few dentists in that area. Don't count on your fiance ever being able to do this. The American Dental Association spends a lot of money and time lobbying against independent hygiene clinics, and for good reason.
Not what you wanted to hear, no doubt, but it's the truth.
