Individual provider · Type 1 NPI

Jennifer K. Azevedo, RDA, OSA

Dental Assistant · Modesto, CA

NPI number 1801306493 Active

Practice location

201 E Orangeburg Ave Ste A
Modesto, CA 95350-5355

Fax (209) 527-0659

Mailing address

201 E. Orangeburg Ave, Suite A
Modesto, CA 95350

Specialties and licenses

TaxonomyCodeLicense
Dental Assistant Primary 126800000XRDS77618 (CA)

Dental Assistant: An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the d…

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About NPI 1801306493

Jennifer K. Azevedo, RDA, OSA's National Provider Identifier is 1801306493, issued on Oct 9, 2017. The primary taxonomy on file is Dental Assistant (126800000X), and the practice location is in Modesto, CA. The record was last updated on Oct 9, 2017.