Individual provider · Type 1 NPI

Stephanie Andreya Jackson, RDH

Dental Hygienist · Provo, UT

NPI number 1205045796 Active

Practice location

801 Crestview Ave
Provo, UT 84604-4777

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist 124Q00000X13208 (TX)
Dental Hygienist 124Q00000X5908 (AZ)
Dental Hygienist Primary 124Q00000X5655443-0701 (UT)

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 1205045796

Stephanie Andreya Jackson, RDH's National Provider Identifier is 1205045796, issued on May 21, 2007. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Provo, UT. The record was last updated on Jul 8, 2007.