NPI 1003295999

Jessica Ann Bernotski, RDH

Practitioner Dental Hygienist Boise, ID

Practice location

Address: 500 W Fort St, Boise, ID 83702-4501
Phone: (208) 422-1000

Registered specialties (2)

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 5368500-9920 (UT)

Other Dental Hygienist providers in Idaho →

Dental Hygienist

Dental Providers Taxonomy 124Q00000X Licence 0402205335 (VA)

Registry record

NPI: 1003295999
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 May 2015
Record last updated: 25 May 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.