Individual provider · Type 1 NPI

Deborah Kay Domen, R.D.H.

Dental Hygienist · Jacksonville, FL

NPI number 1750196176 Active

Practice location

Naval Hospital 2080 Child St Dept 5000
Jacksonville, FL 32214-0001

Call (912) 573-4212 Map

Mailing address

97182 Harbor Concourse Cir
Fernandina Beach, FL 32034-3873

Specialties and licenses

Taxonomy	Code	License
Dental Hygienist	124Q00000X	DH043616 (GA)
Dental Hygienist	124Q00000X	9243 (NC)
Dental Hygienist Primary	124Q00000X	DH31087 (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 1750196176

Deborah Kay Domen, R.D.H.'s National Provider Identifier is 1750196176, issued on Feb 12, 2025. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Jacksonville, FL. The record was last updated on Feb 12, 2025.