Active NPIIndividual provider

Ms. Jessica Brodeur, RDH

Dental Hygienist in Randolph, Massachusetts

NPI Number1528187234
Practice location
15 Warren St, Randolph, MA 02368-4015
Fax
781-963-6906
Last updated
July 8, 2007

Jessica Brodeur is a Dental Hygienist based in Randolph, MA. Jessica Brodeur practices in Randolph, MA and has the professional credentials of RDH. The NPI Number for Jessica Brodeur is 1528187234 and holds a License No. 11958 (MA). The current practice location address for Jessica Brodeur is 15 Warren St, Randolph, MA 02368-4015 and can be reached out via phone at 781-963-3800 and via fax at 781-963-6906.

Provider Profile Details

NPI Number
1528187234
Provider Name
Jessica Brodeur
Credential
RDH
Provider Entity Type
Individual
Gender
Female
Address
15 Warren St, Randolph, MA 02368-4015
Phone Number
781-963-3800
Fax Number
781-963-6906
Primary Taxonomy
Dental Hygienist · 124Q00000X
Sole Proprietor
No
Provider Enumeration Date
March 27, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Warren St
Randolph, MA 02368-4015
Zip
02368-4015
Phone Number
781-963-3800
Fax Number
781-963-6906
Randolph, MA 02368Get directions →

Provider Business Mailing Address Details

Address
140 Cottage St
#5
New Bedford, MA 02740-3675
City
New Bedford
State
MA
Zip
02740-3675
Phone Number
774-451-3521

License Information

License Number
11958
License State
MA
Taxonomy
Dental Hygienist · 124Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Jessica Brodeur, RDH?

The NPI number of Ms. Jessica Brodeur, RDH is 1528187234. It was assigned on March 27, 2007 and is currently active in the NPPES registry.

What is the specialty of Ms. Jessica Brodeur, RDH?

Ms. Jessica Brodeur, RDH is registered under the primary taxonomy Dental Hygienist (code 124Q00000X), licensed in MA under license number 11958.

Where does Ms. Jessica Brodeur, RDH practice?

The practice location is 15 Warren St, Randolph, MA 02368-4015. The office can be reached at 781-963-3800 (phone) or 781-963-6906 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1528187234 directly on the NPPES registry website.

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