Jaclyn Rae Thompson in Superior - Dental Hygienist
Jaclyn Rae Thompson - NPI 1861520280
Jaclyn Rae Thompson is a Dental Hygienist in Superior, Wisconsin. Jaclyn Rae Thompson practices all healthcare services and medical treatments related to Dental Hygienist. The NPI Number for Jaclyn Rae Thompson is 1861520280. The last update date is 2021-10-18.
Jaclyn Rae Thompson's current location address is 2222 E 5th St, Superior, Wisconsin. You can contact this provider via phone number 7153921955 and fax number 7153921935. The mailing address for Jaclyn Rae Thompson is 2222 E 5th St, Superior, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jaclyn Rae Thompson |
|---|---|
| Address | 2222 E 5th St, Superior, Wisconsin |
| Phone Number | 7153921955 |
| Fax Number | 7153921935 |
| Sole Proprietor | N |
| Credentials | RDH |
NPI Number Detail
| NPI Number | 1861520280 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2021-10-18 |
Provider Mailing Address Detail
| Address | 2222 E 5th St |
|---|---|
| City | Superior |
| State | Wisconsin (WI) |
| Post Code | 548803709 |
| Phone Number | 7153921955 |
| Fax Number | 7153921935 |
Provider's Primary Taxonomy Detail
| Speciality | Dental Hygienist |
|---|---|
| Taxonomy | 124Q00000X |
| Licence No | H7723 |
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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 unique identifier code issued to Jaclyn Rae Thompson by the Centers for Medicare & Medicaid Services (CMS)?
The Jaclyn Rae Thompson has been assigned the NPI (National Provider Identifier) 1861520280. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Jaclyn Rae Thompson is geographically located?
The Jaclyn Rae Thompson is physically situated at the following location: 2222 E 5Th St, Superior, WI, 548803709.
What is Jaclyn Rae Thompson's area of expertise and its corresponding taxonomy classification?
The Jaclyn Rae Thompson'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 1861520280 to Jaclyn Rae Thompson?
The Jaclyn Rae Thompson received its 1861520280 assignment from the Centers for Medicare & Medicaid Services on 2007-02-28.
As of what date were the Jaclyn Rae Thompson's details last updated?
The information pertaining to the Jaclyn Rae Thompson, including its address, specialty, and other details, was most recently updated on 2021-10-18.