Individual provider · Type 1 NPI

Jessica R. Gardner, RDH, PHDH

Dental Hygienist · Mattoon, IL

NPI number 1972481489 Active

Practice location

225 Richmond Ave E Ste B
Mattoon, IL 61938-4651

Call (217) 235-8000 Map

Fax (217) 235-0801

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X020014833 (IL)

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 1972481489

Jessica R. Gardner, RDH, PHDH's National Provider Identifier is 1972481489, issued on Aug 22, 2025. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Mattoon, IL. The record was last updated on Aug 22, 2025.