Individual provider · Type 1 NPI

Laura Jackson

Dental Hygienist · Rogersville, MO

NPI number 1619853264 Active

Practice location

203 Jamestown Blvd
Rogersville, MO 65742-6525

Mailing address

408 Jennifer Ln
Rogersville, MO 65742-9743

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X2024022127 (MO)

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…

About NPI 1619853264

Laura Jackson's National Provider Identifier is 1619853264, issued on Aug 11, 2025. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Rogersville, MO. The record was last updated on Aug 11, 2025.