Individual provider · Type 1 NPI

Jessica Diaz, RDH

Dental Hygienist · Sun Prairie, WI

NPI number 1861849945 Active

Practice location

1270 W Main St
Sun Prairie, WI 53590-1930

Fax (608) 837-9134

Mailing address

7974 Uw Health Ct
Middleton, WI 53562-5531

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X1002640-16 (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 1861849945

Jessica Diaz, RDH's National Provider Identifier is 1861849945, issued on May 19, 2016. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Sun Prairie, WI. The record was last updated on May 19, 2016.