Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JILL A CLARK, RDH
ActiveJILL A CLARK, RDH is a Dental Hygienist healthcare provider located in HICKAM AFB, Hawaii. NPI 1922061936 is currently active in the NPPES registry. Verify at CMS.
Dental Hygienist · HICKAM AFB, HI
Registration Details
- NPI Number
- 1922061936
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 10, 2006 (20.200807209508 yrs)
- Last Updated
- Aug 6, 2012
- License
-
0402203160 (VA)
Practice Information
- Address
-
755 SCOTT CIRBLDG 559HICKAM AFB, HI, 968535399Browse HI providers · Browse ZIP 96853
- Phone
- 8084486371
- Primary Specialty
-
Dental Hygienist
124Q00000X
Other Dental Hygienist Providers in HICKAM AFB, HI
| Name | Credential | NPI |
|---|---|---|
| KHARA MACIEL | RDH | 1558687350 |
| TINA HAIRSTON | — | 1922492537 |
| SUSAN TATEISHI | RDH | 1578923280 |
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.