Individual provider · Type 1 NPI

Amanda Rose Jordan, RDH

Dental Hygienist · Lewiston, ME

NPI number 1114433091 Active

Practice location

19 Pettingill St
Lewiston, ME 04240-5903

Call (207) 513-1111 Map

Fax (207) 513-1197

Mailing address

269 Hebron Rd
Buckfield, ME 04220-4136

Specialties and licenses

Taxonomy	Code	License
Dental Hygienist Primary	124Q00000X	RDH4147 (ME)

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 1114433091

Amanda Rose Jordan, RDH's National Provider Identifier is 1114433091, issued on Dec 14, 2017. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Lewiston, ME. The record was last updated on Dec 14, 2017.