Individual provider · Type 1 NPI

Jesse Grossman, RDH

Dental Hygienist · Clarkston, WA

NPI number 1225580962 Active

Practice location

844 6th St
Clarkston, WA 99403-2013

Fax (208) 848-8306

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XDH60682830 (WA)

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 1225580962

Jesse Grossman, RDH's National Provider Identifier is 1225580962, issued on Oct 28, 2016. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Clarkston, WA. The record was last updated on Oct 28, 2016.