Individual provider · Type 1 NPI

Jennifer Cooper-Peterson, RDH

Dental Hygienist · Benton Harbor, MI

NPI number 1043018047 Active

Practice location

800 M 139
Benton Harbor, MI 49022

Call (855) 869-6900 Map

Fax (269) 427-5180

Mailing address

50 Industrial Park Road
Bangor, MI 49013

Specialties and licenses

Taxonomy	Code	License
Dental Hygienist Primary	124Q00000X	2902010966

Dental Hygienist: 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…

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About NPI 1043018047

Jennifer Cooper-Peterson, RDH's National Provider Identifier is 1043018047, issued on Mar 5, 2025. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Benton Harbor, MI. The record was last updated on Mar 5, 2025.