JACLYN LIESE RDH
NPI 1750041760
Dental Hygienist in Ferndale, WA

Active since December 19, 2021
6060 PORTAL WAY, FERNDALE, WA 98248(360) 676-6177(360) 671-3574 Get Directions Write a Review

NPPES record last updated: January 19, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 19, 2022, Dec 19, 2021 (2 updates tracked since 2021).

About Jaclyn Liese Rdh NPPES

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

JACLYN LIESE RDH (NPI 1750041760) is an individual dental hygienist in Ferndale, Washington, licensed in Washington (DEHY.DH.61078723) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1750041760
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameJACLYN LIESECredential: RDH
Location Address6060 PORTAL WAYFerndale, WA 98248-7833
Mailing Address1616 Cornwall Ave Ste 215Bellingham, WA 98225-4648 · (360) 676-6177 · Fax (360) 671-3574
Fax(360) 671-3574
Sole ProprietorYes
Enumeration DateDecember 19, 2021
Last NPPES UpdateJanuary 19, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2022
NPI 1750041760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License Licensed in WA · DEHY.DH.61078723
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.

6060 PORTAL WAY, Ferndale, WA 98248

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

Other Providers at the Same Location NPPES 20

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

Pharmacist
6060 PORTAL WAY
FERNDALE, WA 98248
Dentist
6060 PORTAL WAY
FERNDALE, WA 98248
Dentist
6060 PORTAL WAY
FERNDALE, WA 98248
Dental Hygienist
6060 PORTAL WAY
FERNDALE, WA 98248
Physician Assistant
6060 PORTAL WAY
FERNDALE, WA 98248
Dental Hygienist
6060 PORTAL WAY
FERNDALE, WA 98248
Clinic/Center (Federally Qualified Health Center (FQHC))
6060 PORTAL WAY
FERNDALE, WA 98248
Counselor (Mental Health)
6060 PORTAL WAY
FERNDALE, WA 98248

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 Jaclyn Liese's NPI number?

The NPI number for Jaclyn Liese is 1750041760. It was assigned to this individual provider in the NPPES registry on December 19, 2021.

Where is Jaclyn Liese located?

Jaclyn Liese practices at 6060 Portal Way, Ferndale, WA 98248. The listed phone number is (360) 676-6177.

What is Jaclyn Liese'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 Jaclyn Liese was last updated on January 19, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.