JACQUELYN FAITH PROULX D.M.D.
NPI 1114396579
Dentist - General Practice in Beaufort, SC

Active since September 16, 2015
1 PICKNEY BLVD., NAVAL HOSPITAL BEAUFORT, BEAUFORT, SC 29902(941) 345-6180 Get Directions Write a Review

NPPES record last updated: September 16, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacquelyn Faith Proulx D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELYN FAITH PROULX D.M.D. (NPI 1114396579) is an individual general practice provider in Beaufort, South Carolina, licensed in Colorado (DEN.00202643) and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1114396579
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameJACQUELYN FAITH PROULXCredential: D.M.D.
Location Address1 PICKNEY BLVD., NAVAL HOSPITAL BEAUFORTBeaufort, SC 29902
Mailing Address2030 Elmen StHouston, TX 77019-6107
Sole ProprietorNo
Enumeration DateSeptember 16, 2015
NPI 1114396579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CO · DEN.00202643
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1 PICKNEY BLVD., Beaufort, SC 29902

Other Names 1

Former Name (1)Jacquelyn Faith Kasper D.m.d.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacquelyn Proulx's NPI number?

The NPI number for Jacquelyn Proulx is 1114396579. It was assigned to this individual provider in the NPPES registry on September 16, 2015. The provider is also known as Jacquelyn Faith Kasper D.M.D..

Where is Jacquelyn Proulx located?

Jacquelyn Proulx practices at 1 Pickney Blvd. Naval Hospital Beaufort, Beaufort, SC 29902. The listed phone number is (941) 345-6180.

What is Jacquelyn Proulx's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jacquelyn Proulx was last updated on September 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.