Individual provider · Type 1 NPI

Jennifer R. Connolly, RDH

Dental Hygienist · Kenosha, WI

NPI number 1811062581 Active

Practice location

4536 22nd Ave
Kenosha, WI 53140-5917

Call (262) 656-0044 Map

Fax (262) 653-2218

Mailing address

11115 79th St
Kenosha, WI 53158-1122

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X6549-016 (WI)

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 1811062581

Jennifer R. Connolly, RDH's National Provider Identifier is 1811062581, issued on Nov 21, 2006. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Kenosha, WI. The record was last updated on Jul 9, 2007.