NPI 1548120652

Jaclyn James, RDH

Practitioner Dental Hygienist Meridian, ID

Practice location

Address: 3148 S Siduri Ave, Meridian, ID 83642-5045
Phone: (208) 571-4175

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence DH3604 (ID)

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Registry record

NPI: 1548120652
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Nov 2025
Record last updated: 12 Nov 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.