Individual provider · Type 1 NPI

Jordan Berry

Dental Hygienist · Macon, MO

NPI number 1891145975 Active

Practice location

209 N Missouri St
Macon, MO 63552-2151

Mailing address

1416 Crown Dr
Kirksville, MO 63501-2548

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X2015016912 (MO)

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 1891145975

Jordan Berry's National Provider Identifier is 1891145975, issued on Jun 20, 2016. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Macon, MO. The record was last updated on Jun 20, 2016.