Individual provider · Type 1 NPI

Jessica L. Johnson Simmons

Dental Hygienist · Crestview, FL

NPI number 1104628767 Active

Practice location

810 E James Lee Blvd
Crestview, FL 32539-3118

Mailing address

1771 Shady Cir
Ponce De Leon, FL 32455-7031

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XDH22470 (FL)

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 1104628767

Jessica L. Johnson Simmons's National Provider Identifier is 1104628767, issued on Mar 25, 2025. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Crestview, FL. The record was last updated on Mar 25, 2025.