Kelli Marion Swanson Jaecks in Salem - Dental Hygienist
Kelli Marion Swanson Jaecks - NPI 1558559179
Kelli Marion Swanson Jaecks is a Dental Hygienist in Salem, Oregon. Kelli Marion Swanson Jaecks practices all healthcare services and medical treatments related to Dental Hygienist. The NPI Number for Kelli Marion Swanson Jaecks is 1558559179. The last update date is 2007-10-09.
Kelli Marion Swanson Jaecks's current location address is 380 Jerris Ave Se, Salem, Oregon. You can contact this provider via phone number 5033152222 and fax number 5033152248. The mailing address for Kelli Marion Swanson Jaecks is 380 Jerris Ave Se, Salem, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelli Marion Swanson Jaecks |
|---|---|
| Address | 380 Jerris Ave Se, Salem, Oregon |
| Phone Number | 5033152222 |
| Fax Number | 5033152248 |
| Sole Proprietor | Y |
| Credentials | RDH |
NPI Number Detail
| NPI Number | 1558559179 |
|---|---|
| Provider Enumeration Date | 2007-10-09 |
| Last Updated Date | 2007-10-09 |
Provider Mailing Address Detail
| Address | 380 Jerris Ave Se |
|---|---|
| City | Salem |
| State | Oregon (OR) |
| Post Code | 973025278 |
| Phone Number | 5033152222 |
| Fax Number | 5033152248 |
Provider's Primary Taxonomy Detail
| Speciality | Dental Hygienist |
|---|---|
| Taxonomy | 124Q00000X |
| Licence No | H3590 |
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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 10-digit identification code assigned to Kelli Marion Swanson Jaecks by the Centers for Medicare & Medicaid Services?
The Kelli Marion Swanson Jaecks has been issued the NPI (National Provider Identifier) 1558559179, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Kelli Marion Swanson Jaecks's facilities are geographically located?
The facilities of Kelli Marion Swanson Jaecks are physically situated at the following location: 380 Jerris Ave Se, Salem, OR, 973025278.
What is Kelli Marion Swanson Jaecks's area of expertise and its corresponding taxonomy classification?
The Kelli Marion Swanson Jaecks'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 assign the 1558559179 to Kelli Marion Swanson Jaecks?
The Centers for Medicare & Medicaid Services assigned the 1558559179 to Kelli Marion Swanson Jaecks on 2007-10-09.
When was the information regarding Kelli Marion Swanson Jaecks most recently updated?
The details pertaining to the Kelli Marion Swanson Jaecks, including its address, specialty, and other relevant information, were last refreshed on 2007-10-09.
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