Individual provider · Type 1 NPI

Fanny Jackson, RDH

Dental Hygienist · Palm Springs, FL

NPI number 1679943245 Active

Practice location

2601 10th Ave N, Suite 1000
Palm Springs, FL 33461-3141

Fax (561) 802-3976

Mailing address

38754 State Road 80
Belle Glade, FL 33430-5615

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XDH23160 (FL)

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 1679943245

Fanny Jackson, RDH's National Provider Identifier is 1679943245, issued on Sep 25, 2015. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Palm Springs, FL. The record was last updated on Sep 25, 2015.