Individual provider · Type 1 NPI

Jillian Cooper, RDH

Dental Hygienist · Fort Gibson, OK

NPI number 1134865272 Active

Practice location

801 S Lee St Ste A
Fort Gibson, OK 74434-8710

Mailing address

113 Norh 6 Mile Lane
Fort Gibson, OK 74434

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X3257 (OK)

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 1134865272

Jillian Cooper, RDH's National Provider Identifier is 1134865272, issued on May 11, 2022. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Fort Gibson, OK. The record was last updated on May 11, 2022.