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LORIELLE M JACK
NPI 1235594169
Dental Hygienist in Durango, CO

Active since December 18, 2015
2530 COLORADO AVE UNIT 1A, DURANGO, CO 81301(970) 335-2442 Get Directions Write a Review

NPPES record last updated: January 2, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 2, 2020, Dec 18, 2015 (2 updates tracked since 2015).

About Lorielle M Jack NPPES

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

LORIELLE M JACK (NPI 1235594169) is an individual dental hygienist in Durango, Colorado, licensed in Colorado (DH002024003) and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1235594169
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameLORIELLE M JACK
Location Address2530 COLORADO AVE UNIT 1ADurango, CO 81301-4761
Mailing Address185 Suttle StDurango, CO 81303-8276 · (970) 335-2232 · Fax (970) 677-2540
Phone(970) 335-2442
Sole ProprietorNo
Enumeration DateDecember 18, 2015
Last NPPES UpdateJanuary 2, 20202 updates tracked since enumeration
✔ NPI 1235594169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License✔ Licensed in CO · DH002024003
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.
2530 COLORADO AVE UNIT 1A, Durango, CO 81301
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
2530 COLORADO AVE UNIT 1A
DURANGO, CO 81301
La Plata County (970) 335-2442

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 Lorielle Jack's NPI number?

The NPI number for Lorielle Jack is 1235594169. It was assigned to this individual provider in the NPPES registry on December 18, 2015.

Where is Lorielle Jack located?

Lorielle Jack practices at 2530 Colorado Ave Unit 1A, Durango, CO 81301. The listed phone number is (970) 335-2442.

What is Lorielle Jack'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 Lorielle Jack was last updated on January 2, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.