Lydia Jardine is a Dental Hygienist in Vallejo, California. Lydia Jardine practices all healthcare services and medical treatments related to Dental Hygienist. The NPI Number for Lydia Jardine is 1104915305. The last update date is 2007-07-08.
Lydia Jardine's current location address is 930 Prospect Ave, Vallejo, California. You can contact this provider via phone number 5104373615 and fax number 5104373034. The mailing address for Lydia Jardine is 930 Prospect Ave, Vallejo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lydia Jardine |
|---|---|
| Address | 930 Prospect Ave, Vallejo, California |
| Phone Number | 5104373615 |
| Fax Number | 5104373034 |
| Sole Proprietor | Y |
| Credentials | RDH |
NPI Number Detail
| NPI Number | 1104915305 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 930 Prospect Ave |
|---|---|
| City | Vallejo |
| State | California (CA) |
| Post Code | 945921168 |
| Phone Number | 5104373615 |
| Fax Number | 5104373034 |
Provider's Primary Taxonomy Detail
| Speciality | Dental Hygienist |
|---|---|
| Taxonomy | 124Q00000X |
| Licence No | RDH 20602 |
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Definition: 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 |
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Post Comment/ Review Below
What is the Lydia Jardine's unique identification number?
The Lydia Jardine has been assigned the NPI (National Provider Identifier) Number 1104915305 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Lydia Jardine's facilities are situated?
The facilities of Lydia Jardine are physically located at the following address: 930 Prospect Ave, Vallejo, CA, 945921168.
What is Lydia Jardine's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lydia Jardine is Dental Hygienist, and the taxonomy classification code that categorizes this area of expertise is 124Q00000X.
When did the Lydia Jardine receive its 1104915305?
The Lydia Jardine was issued its 1104915305 on 2006-10-12, which is the date when the organization was assigned this unique identifier.
When was the information related to Lydia Jardine most recently updated or refreshed?
The details pertaining to the Lydia Jardine, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA