Jessica Brodeur in Randolph - Dental Hygienist
Jessica Brodeur - NPI 1528187234
Jessica Brodeur is a Dental Hygienist in Randolph, Massachusetts. Jessica Brodeur practices all healthcare services and medical treatments related to Dental Hygienist. The NPI Number for Jessica Brodeur is 1528187234. The last update date is 2007-07-08.
Jessica Brodeur's current location address is 15 Warren St, Randolph, Massachusetts. You can contact this provider via phone number 7819633800 and fax number 7819636906. The mailing address for Jessica Brodeur is 15 Warren St, Randolph, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica Brodeur |
|---|---|
| Address | 15 Warren St, Randolph, Massachusetts |
| Phone Number | 7819633800 |
| Fax Number | 7819636906 |
| Sole Proprietor | N |
| Credentials | R.D.H. |
NPI Number Detail
| NPI Number | 1528187234 |
|---|---|
| Provider Enumeration Date | 2007-03-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 15 Warren St |
|---|---|
| City | Randolph |
| State | Massachusetts (MA) |
| Post Code | 23684015 |
| Phone Number | 7819633800 |
| Fax Number | 7819636906 |
Provider's Primary Taxonomy Detail
| Speciality | Dental Hygienist |
|---|---|
| Taxonomy | 124Q00000X |
| Licence No | 11958 |
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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 Jessica Brodeur's unique identification number?
The Jessica Brodeur has been assigned the NPI (National Provider Identifier) Number 1528187234 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 Jessica Brodeur's facilities are situated?
The facilities of Jessica Brodeur are physically located at the following address: 15 Warren St, Randolph, MA, 23684015.
What is Jessica Brodeur's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jessica Brodeur is Dental Hygienist, and the taxonomy code that categorizes this field of expertise is 124Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1528187234 to Jessica Brodeur?
The Centers for Medicare & Medicaid Services originally issued the 1528187234 to Jessica Brodeur on 2007-03-27.
When was the Jessica Brodeur's information last updated?
The Jessica Brodeur's information was last updated on 2007-07-08.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY