Individual provider · Type 1 NPI

Jamie Deforge

Dental Hygienist · Fort Collins, CO

NPI number 1497253413 Active

Practice location

1927 Wilmington Dr Unit 202
Fort Collins, CO 80528-6102

Fax (970) 484-4852

Mailing address

5309 Moonlight Bay Dr
Windsor, CO 80528-8975

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X000904036 (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 1497253413

Jamie Deforge's National Provider Identifier is 1497253413, issued on Jan 24, 2018. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Fort Collins, CO. The record was last updated on Jan 24, 2018.