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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JESSICA ANN BERNOTSKI, RDH

Active

Dental Hygienist · BOISE, ID

Registration Details

NPI Number
1003295999
Provider Type
Individual
Gender
Female
NPI Issued
May 25, 2015 (10.917324612918 yrs)
Last Updated
May 25, 2015
Licenses
5368500-9920 (UT)
0402205335 (VA)

Practice Information

Address
500 W FORT ST
BOISE, ID, 837024501
Browse ID providers · Browse ZIP 83702
Phone
2084221000
Primary Specialty
Dental Hygienist
124Q00000X
Additional Specialty
Dental Hygienist

Other Dental Hygienist Providers in BOISE, ID

Name Credential NPI
MRS. SHANNON MICHELLE STETZ RDH 1962956904
MICHELLE PHILLIPS RDH,BS,COM 1902351364
JAMIE ROWE RDH 1427589936
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.