JILLIAN MARIE TRAVIS RDH
NPI 1821392457
Dental Hygienist in Shenandoah, IA

Active since December 21, 2010
1213 W NISHNA RD, SHENANDOAH, IA 51601(712) 246-2180(712) 246-1683 Get Directions Write a Review

NPPES record last updated: May 20, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jillian Marie Travis Rdh NPPES

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

JILLIAN MARIE TRAVIS RDH (NPI 1821392457) is an individual dental hygienist in Shenandoah, Iowa, licensed in Iowa (2062) and active in the NPI registry since December 2010.

NPPES Registry Identity

NPI1821392457
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameJILLIAN MARIE TRAVISCredential: RDH
Location Address1213 W NISHNA RDShenandoah, IA 51601-2115
Mailing Address1204 W Sheridan AveShenandoah, IA 51601-1554 · (712) 246-2180 · Fax (712) 246-1683
Fax(712) 246-1683
Sole ProprietorYes
Enumeration DateDecember 21, 2010
Last NPPES UpdateMay 20, 2019
NPI 1821392457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License Licensed in IA · 2062
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.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 5587 (IA)
1213 W NISHNA RD, Shenandoah, IA 51601

Other Identifiers 2

Other1306926407IA · Npi
Medicaid0062240IA

Other Providers at the Same Location NPPES

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

Dentist
1213 W NISHNA RD
SHENANDOAH, IA 51601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821392457, enumerated as an "individual" on December 21, 2010.

The provider is located at 1213 W NISHNA RD SHENANDOAH, IA 51601 and the phone number is (712) 246-2180.

Dental Hygienist with taxonomy code 124Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.