Individual provider · Type 1 NPI

Sean Jackson, RDH

Dental Hygienist · Detroit, MI

NPI number 1114368917 Active

Practice location

111 W 7 Mile Rd
Detroit, MI 48203-1968

Call (313) 369-2600 Map

Fax (313) 369-2477

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X2902014962 (MI)

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 1114368917

Sean Jackson, RDH's National Provider Identifier is 1114368917, issued on Jul 10, 2013. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Detroit, MI. The record was last updated on Jul 10, 2013.