Individual provider · Type 1 NPI

Jessica Marie Southeard, R.D.H

Dental Hygienist · Fort Drum, NY

NPI number 1851650287 Active

Practice location

10205 N Riva Ridge Loop
Fort Drum, NY 13602-5457

Call (315) 772-8843 Map

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X7426 C1 (AL)

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 1851650287

Jessica Marie Southeard, R.D.H's National Provider Identifier is 1851650287, issued on May 4, 2012. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Fort Drum, NY. The record was last updated on Jul 22, 2013.