1. Home
  2. Directory
  3. New York
  4. Fort Drum
  5. Dental Hygienist
  6. NPI Profile

MRS. JESSICA MARIE SOUTHEARD R.D.H
NPI 1851650287
Dental Hygienist in Fort Drum, NY

Active since May 04, 2012
10205 N RIVA RIDGE LOOP, FORT DRUM, NY 13602(315) 772-8843 Get Directions Write a Review

NPPES record last updated: July 22, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Jessica Marie Southeard R.d.h NPPES

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

MRS. JESSICA MARIE SOUTHEARD R.D.H (NPI 1851650287) is an individual dental hygienist in Fort Drum, New York, licensed in Alabama (7426 C1) and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1851650287
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameMRS. JESSICA MARIE SOUTHEARDCredential: R.D.H
Location Address10205 N RIVA RIDGE LOOPFort Drum, NY 13602-5457
Mailing Address10205 N Riva Ridge LoopFort Drum, NY 13602-5457 · (315) 772-8843
Phone(315) 772-8843
Sole ProprietorNo
Enumeration DateMay 4, 2012
Last NPPES UpdateJuly 22, 2013
✔ NPI 1851650287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License✔ Licensed in AL · 7426 C1
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.
10205 N RIVA RIDGE LOOP, Fort Drum, NY 13602
Open in Google Maps ↗

Other Providers at the Same Location NPPES 4

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

GUTHRIE AHC
Clinic/Center (Military/U.S. Coast Guard Outpatient)
10205 N RIVA RIDGE LOOP, SUITE P10506
FORT DRUM, NY 13602
Jefferson County (315) 772-2778
GUTHRIE AHC
Clinic/Center (Military/U.S. Coast Guard Outpatient)
10205 N RIVA RIDGE LOOP, SUITE P36
FORT DRUM, NY 13602
Jefferson County (315) 772-2778
GUTHRIE AHC
Clinic/Center (Military/U.S. Coast Guard Outpatient)
10205 N RIVA RIDGE LOOP, SUITE P10205
FORT DRUM, NY 13602
Jefferson County (315) 772-8891
DR. MARK W FAGAN DDS
Dentist (Prosthodontics)
10205 N RIVA RIDGE LOOP
FORT DRUM, NY 13602
Jefferson County (315) 772-5088

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 Jessica Southeard's NPI number?

The NPI number for Jessica Southeard is 1851650287. It was assigned to this individual provider in the NPPES registry on May 4, 2012.

Where is Jessica Southeard located?

Jessica Southeard practices at 10205 N Riva Ridge Loop, Fort Drum, NY 13602. The listed phone number is (315) 772-8843.

What is Jessica Southeard'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 Jessica Southeard was last updated on July 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.