Individual provider · Type 1 NPI

Jennifer Berk

Dental Hygienist · Putnam, CT

NPI number 1255463402 Active

Practice location

153 Grove St
Putnam, CT 06260-2115

Fax (860) 928-0029

Mailing address

466 Rocky Hill Rd
Woodstock, CT 06281-2819

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X005611 (CT)

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 1255463402

Jennifer Berk's National Provider Identifier is 1255463402, issued on Mar 12, 2007. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Putnam, CT. The record was last updated on Jul 8, 2007.