Kristal Lynne Jaster in Port Wentworth - Dental Hygienist
Kristal Lynne Jaster - NPI 1689768673
Kristal Lynne Jaster is a Dental Hygienist in Port Wentworth, Georgia. Kristal Lynne Jaster practices all healthcare services and medical treatments related to Dental Hygienist. The NPI Number for Kristal Lynne Jaster is 1689768673. The last update date is 2018-03-17.
Kristal Lynne Jaster's current location address is 7306 Ga Highway 21 Ste 105, Port Wentworth, Georgia. You can contact this provider via phone number 9129662575 and fax number 9129660906. The mailing address for Kristal Lynne Jaster is 7306 Ga Highway 21 Ste 105, Port Wentworth, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristal Lynne Jaster |
|---|---|
| Address | 7306 Ga Highway 21 Ste 105, Port Wentworth, Georgia |
| Phone Number | 9129662575 |
| Fax Number | 9129660906 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1689768673 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2018-03-17 |
Provider Mailing Address Detail
| Address | 7306 Ga Highway 21 Ste 105 |
|---|---|
| City | Port Wentworth |
| State | Georgia (GA) |
| Post Code | 314079275 |
| Phone Number | 9129662575 |
| Fax Number | 9129660906 |
Provider's Primary Taxonomy Detail
| Speciality | Dental Hygienist |
|---|---|
| Taxonomy | 124Q00000X |
| Licence No | 6430 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7452 | GA | PHYSICIAN ASSISTANT LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kristal Lynne Jaster by the Centers for Medicare & Medicaid Services?
The Kristal Lynne Jaster has been issued the NPI (National Provider Identifier) 1689768673, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Kristal Lynne Jaster is physically located?
The Kristal Lynne Jaster is situated at the following address: 7306 Ga Highway 21 Ste 105, Port Wentworth, GA 314079275.
What is Kristal Lynne Jaster's area of expertise and its corresponding taxonomy classification?
The Kristal Lynne Jaster's field of specialization is Dental Hygienist, and it falls under the taxonomy code 124Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1689768673 to Kristal Lynne Jaster?
The Kristal Lynne Jaster received its 1689768673 assignment from the Centers for Medicare & Medicaid Services on 2006-10-03.
As of what date was the information regarding Kristal Lynne Jaster, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kristal Lynne Jaster, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-03-17.
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