Individual provider · Type 1 NPI

Jessica Caitlin Brocanelli, RDH

Dental Hygienist · Portland, OR

NPI number 1669055273 Active

Practice location

1933 SW Jefferson St
Portland, OR 97201-2497

Call (855) 433-6825 Map

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XH5288 (OR)

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 1669055273

Jessica Caitlin Brocanelli, RDH's National Provider Identifier is 1669055273, issued on Apr 30, 2021. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Portland, OR. The record was last updated on Apr 30, 2021.