Individual provider · Type 1 NPI

Jamie Jividen, RDH

Dental Hygienist · Smethport, PA

NPI number 1912875543 Active

Practice location

619 Irish Holw
Smethport, PA 16749-4115

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XDH068273 (PA)

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…

About NPI 1912875543

Jamie Jividen, RDH's National Provider Identifier is 1912875543, issued on Oct 27, 2025. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Smethport, PA. The record was last updated on Oct 27, 2025.