Individual provider · Type 1 NPI

Jaclyn Liese, RDH

Dental Hygienist · Ferndale, WA

NPI number 1750041760 Active

Practice location

6060 Portal Way
Ferndale, WA 98248-7833

Call (360) 676-6177 Map

Fax (360) 671-3574

Mailing address

1616 Cornwall Ave Ste 215
Bellingham, WA 98225-4648

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XDEHY.DH.61078723 (WA)

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 1750041760

Jaclyn Liese, RDH's National Provider Identifier is 1750041760, issued on Dec 19, 2021. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Ferndale, WA. The record was last updated on Jan 19, 2022.