Individual provider · Type 1 NPI

Timothy Doral Robertson

Dental Hygienist · Jacksonville, FL

NPI number 1215674049 Active

Practice location

1536 N Jefferson St
Jacksonville, FL 32209-6525

Mailing address

2750 Copperwood Ave
Orange Park, FL 32073-1686

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XDH21341 (FL)

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 1215674049

Timothy Doral Robertson's National Provider Identifier is 1215674049, issued on May 13, 2022. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Jacksonville, FL. The record was last updated on May 13, 2022.