NPI 1003365404

Jack Allen Cessna, RDHBS

Practitioner Dental Hygienist Greeley, CO

Practice location

Address: 1006 a St, Greeley, CO 80631-2021
Phone: (970) 352-0048
Mailing address: 2930 11th Ave, Evans, CO 80620-1011

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence DH.002024533 (CO)

Other Dental Hygienist providers in Colorado →

Registry record

NPI: 1003365404
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Sep 2016
Record last updated: 28 Sep 2016

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.