Individual provider · Type 1 NPI

Shawanda Jackson, DENTAL HYGIENIST

Dental Hygienist · Tampa, FL

NPI number 1184084063 Active

Practice location

3250 Zemke Avenue
Tampa, FL 33621-5205

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X8873 (SC)

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 1184084063

Shawanda Jackson, DENTAL HYGIENIST's National Provider Identifier is 1184084063, issued on Mar 4, 2016. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Tampa, FL. The record was last updated on Mar 4, 2016.