Jocelyn Grubb in Round Lake Beach - Dental Hygienist
Jocelyn Grubb - NPI 1902924640
Jocelyn Grubb is a Dental Hygienist in Round Lake Beach, Illinois. Jocelyn Grubb practices all healthcare services and medical treatments related to Dental Hygienist. The NPI Number for Jocelyn Grubb is 1902924640. The last update date is 2007-07-08.
Jocelyn Grubb's current location address is 305 E Rollins Rd, Round Lake Beach, Illinois. You can contact this provider via phone number 8475462900 and fax number 8475466603. The mailing address for Jocelyn Grubb is 305 E Rollins Rd, Round Lake Beach, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jocelyn Grubb |
|---|---|
| Address | 305 E Rollins Rd, Round Lake Beach, Illinois |
| Phone Number | 8475462900 |
| Fax Number | 8475466603 |
| Sole Proprietor | N |
| Credentials | RDH |
NPI Number Detail
| NPI Number | 1902924640 |
|---|---|
| Provider Enumeration Date | 2007-03-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 305 E Rollins Rd |
|---|---|
| City | Round Lake Beach |
| State | Illinois (IL) |
| Post Code | 600731331 |
| Phone Number | 8475462900 |
| Fax Number | 8475466603 |
Provider's Primary Taxonomy Detail
| Speciality | Dental Hygienist |
|---|---|
| Taxonomy | 124Q00000X |
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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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What is the unique provider identifier assigned to Jocelyn Grubb?
The Jocelyn Grubb has been issued the NPI (National Provider Identifier) 1902924640 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Jocelyn Grubb is physically located?
The Jocelyn Grubb is situated at the following address: 305 E Rollins Rd, Round Lake Beach, IL 600731331.
What is the Jocelyn Grubb's specialty and taxonomy code?
The Jocelyn Grubb's specialty is Dental Hygienist, and the corresponding taxonomy code is 124Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1902924640 to Jocelyn Grubb?
The Centers for Medicare & Medicaid Services assigned the 1902924640 to Jocelyn Grubb on 2007-03-27.
When was the information pertaining to Jocelyn Grubb most recently updated or revised?
The details related to Jocelyn Grubb, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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