Individual provider · Type 1 NPI

Lorielle M. Jack

Dental Hygienist · Durango, CO

NPI number 1235594169 Active

Practice location

2530 Colorado Ave Unit 1A
Durango, CO 81301-4761

Mailing address

185 Suttle St
Durango, CO 81303-8276

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XDH002024003 (CO)

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 1235594169

Lorielle M. Jack's National Provider Identifier is 1235594169, issued on Dec 18, 2015. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Durango, CO. The record was last updated on Jan 2, 2020.