NPI 1326921321

Jennifer R Kreid, RDHPHDH

Practitioner Dental Hygienist Carbondale, IL

Practice location

Address: 1365 Douglas Dr, Carbondale, IL 62901-2583
Phone: (618) 319-0415
Mailing address: 2504 Chamness Rd, Du Quoin, IL 62832-3117

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 020.011685 (IL)

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Registry record

NPI: 1326921321
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Jul 2025
Record last updated: 28 Jul 2025

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.