Individual provider · Type 1 NPI

Jill A. Clark, RDH

Dental Hygienist · Hickam Afb, HI

NPI number 1922061936 Active

Practice location

755 Scott Cir, Bldg 559
Hickam Afb, HI 96853-5399

Call (808) 448-6371 Map

Mailing address

3776 Elm Dr
Pearl City, HI 96782-3912

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X0402203160 (VA)

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 1922061936

Jill A. Clark, RDH's National Provider Identifier is 1922061936, issued on Apr 10, 2006. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Hickam Afb, HI. The record was last updated on Aug 6, 2012.