Individual provider · Type 1 NPI
Jessica Lauren Black, RDH
Dental Hygienist · Redlands, CA
Practice location
1413 Gold Buckle Ct
Redlands, CA 92374-2790
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Hygienist Primary | 124Q00000X | 24820 (CA) |
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 1104187764
Jessica Lauren Black, RDH's National Provider Identifier is 1104187764, issued on May 30, 2012. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Redlands, CA. The record was last updated on May 30, 2012.