Individual provider · Type 1 NPI
Wanda Kay Jackson, RDH
Dental Hygienist · Shreveport, LA
Practice location
510 E Stoner Ave, #160
Shreveport, LA 71101-4243
Fax (318) 841-4795
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Hygienist Primary | 124Q00000X | 376 (LA) |
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 1043323504
Wanda Kay Jackson, RDH's National Provider Identifier is 1043323504, issued on Aug 17, 2006. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Shreveport, LA. The record was last updated on Jul 8, 2007.