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Stephanie Jackson, RDH
NPI 1205045796 · on the registry since 2007
Practice
- Address
- 801 Crestview Ave
Provo, UT 84604 - Phone
- (801) 222-9354
Registry record
- Primary taxonomy
- Dental Hygienist
124Q00000X
- Also registered as
- Dental Hygienist
Dental Hygienist - Licence states on file
- TX, AZ, UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah