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JESSICA FAE WALLACE
NPI 1154202901
Dental Hygienist in Rolling Meadows, IL

Active since September 09, 2025
2200 FLICKER LN, ROLLING MEADOWS, IL 60008(815) 830-4739 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jessica Fae Wallace NPPES

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

JESSICA FAE WALLACE (NPI 1154202901) is an individual dental hygienist in Rolling Meadows, Illinois, licensed in Illinois (002017626) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1154202901
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameJESSICA FAE WALLACE
Location Address2200 FLICKER LNRolling Meadows, IL 60008-1317
Mailing Address2200 Flicker LnRolling Meadows, IL 60008-1317
Phone(815) 830-4739
Sole ProprietorYes
Enumeration DateSeptember 9, 2025
NPPES CertifiedSeptember 9, 2025
✔ NPI 1154202901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License✔ Licensed in IL · 002017626
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 legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
2200 FLICKER LN, Rolling Meadows, IL 60008
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Other Names 1

Former Name (1)Jessica Fae Kline Ms, Rdh, Phdh, Efda

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Jessica Wallace's NPI number?

The NPI number for Jessica Wallace is 1154202901. It was assigned to this individual provider in the NPPES registry on September 9, 2025. The provider is also known as Jessica Fae Kline Ms, Rdh, Phdh, Efda.

Where is Jessica Wallace located?

Jessica Wallace practices at 2200 Flicker Ln, Rolling Meadows, IL 60008. The listed phone number is (815) 830-4739.

What is Jessica Wallace's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Jessica Wallace was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.