Individual provider · Type 1 NPI

Jill Renee Erickson, RDH

Dental Hygienist · Fort Washakie, WY

NPI number 1215233168 Active

Practice location

29 Black Coal Drive
Fort Washakie, WY 82514

Mailing address

291 S 3rd St
Lander, WY 82520-3114

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XH05665 (AZ)

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 1215233168

Jill Renee Erickson, RDH's National Provider Identifier is 1215233168, issued on Feb 9, 2011. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Fort Washakie, WY. The record was last updated on Feb 9, 2011.