STEPHANIE ANDREYA JACKSON RDH
NPI 1205045796
Dental Hygienist in Provo, UT

Active since May 21, 2007
801 CRESTVIEW AVE, PROVO, UT 84604(801) 222-9354 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stephanie Andreya Jackson Rdh NPPES

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

STEPHANIE ANDREYA JACKSON RDH (NPI 1205045796) is an individual dental hygienist in Provo, Utah, licensed in Utah (5655443-0701) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1205045796
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameSTEPHANIE ANDREYA JACKSONCredential: RDH
Location Address801 CRESTVIEW AVEProvo, UT 84604-4777
Mailing Address801 Crestview AveProvo, UT 84604-4777
Sole ProprietorNo
Enumeration DateMay 21, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1205045796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
Licenses Licensed in UT · 5655443-0701 Licensed in TX · 13208 Licensed in AZ · 5908
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.

801 CRESTVIEW AVE, Provo, UT 84604

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 Stephanie Jackson's NPI number?

The NPI number for Stephanie Jackson is 1205045796. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Stephanie Jackson located?

Stephanie Jackson practices at 801 Crestview Ave, Provo, UT 84604. The listed phone number is (801) 222-9354.

What is Stephanie Jackson'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 Stephanie Jackson was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.