JESSICA LAUREN BLACK


Address: 1413 Gold Buckle Ct, Redlands, CA 92374-2790
Phone: 9099041891

JESSICA LAUREN BLACK (NPI# 1104187764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104187764
Entity Type Individual
Full Name JESSICA LAUREN BLACK
Credential RDH
Practice Address 1413 Gold Buckle Ct
Redlands
CA 92374-2790
Practice Telephone 9099041891
Mailing Telephone 9099041891
Enumeration Date 2012-05-30
Last Update Date 2012-05-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist 24820 CA Dental Providers

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1134305337 Jessica K Black Naturopath 330 Se Baker St, Unit 3, Mcminnville, OR 97128-6038 2008-01-17
1336102607 Jessica Anne Black Occupational Therapist 9302 N Meridian St Ste 190, Indianapolis, IN 46260-1818 2006-04-08
1902403488 Jessica Laurel Black Case Manager/Care Coordinator 22001 Fairmount Blvd, Cleveland, OH 44118-4897 2020-10-07
1619529500 Jessica Dawn Black Counselor 1576 S 500 W, Suite 102, Bountiful, UT 84010 2019-07-11

Office Location

Street Address 1413 GOLD BUCKLE CT
City REDLANDS
State CA
Zip Code 92374-2790

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053802652 V Rana Dds Inc Clinic/Center 1748 E Lugonia Ave Ste 126, Redlands, CA 92374 2018-05-21
1467979393 Brianna Ashley Torres Behavioral Analyst 1467 Stillman Ave, Redlands, CA 92374 2017-08-22
1851821953 Veronica Esqueda Social Worker 21 Crafton Ct, Redlands, CA 92374 2017-06-13
1053855783 Caroline Daravi Psychologist 1706 Plum Lane #110, Redland, CA 92374 2016-12-14
1487092722 Kathryn Wheeler Speech-Language Pathologist 112 Eleventh Street, Redlands, CA 92374 2013-06-10
1275979254 Lifecare Solutions Inc Durable Medical Equipment & Medical Supplies 1220 Research Dr, Redlands, CA 92374 2013-05-16
1639515125 Shantrice Nicole Burton Speech-Language Pathologist 1323 W Colton Ave Ste 105, Redlands, CA 92374 2013-05-11
1275898314 Hrishikesh C Gogineni Orthopaedic Surgery 1801 Orange Tree Ln Ste 200, Redlands, CA 92374 2012-07-04
1609168897 Mina Youssef Psychiatry & Neurology 26325 Snowden Ave, Redlands, CA 92374 2011-05-06
1902106545 Jerrold Edward Hammer Pharmacist 422 N Orange St., Redlands, CA 92374 2010-10-29
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Taxonomy Information

Taxonomy Code 124Q00000X
Grouping Dental Providers
Classification Dental Hygienist

Taxonomy 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.
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467934125 Florence St Peter Dental Hygienist 112 Morningside Ln, Redlands, CA 92374-5512 2018-08-29
1295067916 Sunhae Shin Dental Hygienist 1138 Orange St, Redlands, CA 92374-3219 2010-02-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1346841046 Betty Satomi Fukumoto Dental Hygienist 16008 S Manhattan Pl, Gardena, CA 90247-3681 2020-11-08
1417558180 Maria Antonette De Lara Kim Dental Hygienist 66 S San Gorgonio Ave Ste 5, Banning, CA 92220-6020 2020-11-07
1083215982 Sokbunntha Yan Dental Hygienist 5810 Fidler Ave, Lakewood, CA 90712-1251 2020-11-06
1649871914 Maryam Ghahramani Shahneshin Dental Hygienist 1961 Grove Pl, Escondido, CA 92027-4101 2020-11-04
1285234047 Maryann Detar Dental Hygienist 3154 Alum Rock Ave, San Jose, CA 95127-2903 2020-10-29
1194325597 Connie Lim Good Dental Hygienist 14th Street Bldg 13128, Oceanside, CA 92055 2020-10-27
1336748896 Cynthia Garcia Macdougall Dental Hygienist 444 Hermosa Ave Apt 302, Hermosa Beach, CA 90254-4433 2020-10-25
1346849163 Ambrosia Evon Steljes Dental Hygienist Building 13128 14th Street, Camp Pendleton, CA 92055-5221 2020-10-22
1427657261 Julie Lynn March Dental Hygienist 19871 Mitscher Way Bldg 2495, San Diego, CA 92145-5103 2020-10-22
1386243327 Leticia Isabel Alcantar Dental Hygienist Bldg 520448, Camp Pendleton, CA 92055 2020-10-21
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Competitor

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City REDLANDS
Zip Code 92374

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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