Individual provider · Type 1 NPI

Jonathan Anderson

Dental Hygienist · Gillespie, IL

NPI number 1407584014 Active

Practice location

109 E Maple St
Gillespie, IL 62033-1473

Fax (217) 839-1538

Mailing address

205 Oakland Ave
Carlinville, IL 62626-1921

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X020015714 (IL)

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 1407584014

Jonathan Anderson's National Provider Identifier is 1407584014, issued on Aug 11, 2022. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Gillespie, IL. The record was last updated on Aug 11, 2022.