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JENNIFER DABU BANTUGAN EFDA, EFODA, RDA
NPI 1770355307
Dental Assistant in Vancouver, WA

Active since October 26, 2023
12711 SE MILL PLAIN BLVD, VANCOUVER, WA 98684(360) 449-1610 Get Directions Write a Review

NPPES record last updated: October 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jennifer Dabu Bantugan Efda, Efoda, Rda NPPES

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

JENNIFER DABU BANTUGAN EFDA, EFODA, RDA (NPI 1770355307) is an individual dental assistant in Vancouver, Washington and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1770355307
Entity TypeIndividualFemale
Primary Taxonomy126800000X
Provider Legal NameJENNIFER DABU BANTUGANCredential: EFDA, EFODA, RDA
Location Address12711 SE MILL PLAIN BLVDVancouver, WA 98684-6053
Mailing Address12711 Se Mill Plain BlvdVancouver, WA 98684-6053 · (360) 449-1610
Phone(360) 449-1610
Sole ProprietorNo
Enumeration DateOctober 26, 2023
NPPES CertifiedOctober 26, 2023
✔ NPI 1770355307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental AssistantDental Providers
Taxonomy Code126800000X
Definition
An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.
12711 SE MILL PLAIN BLVD, Vancouver, WA 98684
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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.

SVETLANA ANENKO
Dental Assistant
12711 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (360) 896-4484
DR. JOHN ROBERT SUNDELL D.D.S.
Dentist (General Practice)
12711 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (360) 896-4484
MS. MARY AGNES GUBALA RDH
Dental Hygienist
12711 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (360) 896-4484
TAMERA JANCZE RDH
Dental Hygienist
12711 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (360) 896-4484
CHARITY REBECCA ASHWORTH RDH
Dental Hygienist
12711 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (360) 896-4484
KAISER PERMANENTE DENTAL CARE PROGRAM
Dental Hygienist
12711 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (360) 896-4484
NORA L. MCDERMOTT EFODA
Dental Assistant
12711 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (360) 896-4484
RAMINTA ISAI RDH
Dental Hygienist
12711 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (360) 513-5987

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 Jennifer Bantugan's NPI number?

The NPI number for Jennifer Bantugan is 1770355307. It was assigned to this individual provider in the NPPES registry on October 26, 2023.

Where is Jennifer Bantugan located?

Jennifer Bantugan practices at 12711 SE Mill Plain Blvd, Vancouver, WA 98684. The listed phone number is (360) 449-1610.

What is Jennifer Bantugan's specialty?

The primary specialty registered for this NPI is Dental Assistant with taxonomy code 126800000X.

When was this NPI record last updated?

The NPPES record for Jennifer Bantugan was last updated on October 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.