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Ms. Jennifer M Clark, RDH
Dental Hygienist in Racine, Wisconsin
NPI 1972976793

Jennifer M Clark is a Dental Hygienist based in Racine, WI. Jennifer M Clark practices in Racine, WI and has the professional credentials of RDH. The NPI Number for Jennifer M Clark is 1972976793 and holds a License No. 11479-16 (Wisconsin).

The current practice location address for Jennifer M Clark is 4915 Washington Ave Ste B, Racine, WI and can be reached out via phone at 262-619-1949 and via fax at 877-335-3684. You can also correspond with Jennifer M Clark through the mailing address at 4915 WASHINGTON AVE STE B, RACINE, WI - 53406-4221 (mailing address contact number: 262-619-1949).

Location: 4915 Washington Ave Ste B, Racine, WI, 53406-4221
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972976793
Provider Name
Jennifer M Clark
Credential
RDH
Provider Entity Type
Individual
Gender
Female
Address
4915 Washington Ave Ste B, Racine, WI, 53406-4221
Phone Number
262-619-1949
Fax Number
877-335-3684
Provider Enumeration Date
11/02/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4915 Washington Ave Ste B
City
Racine
State
Wisconsin
Zip
53406-4221
Phone Number
262-619-1949
Fax Number
877-335-3684
person
Provider Business Mailing Address Details
Address
4915 Washington Ave Ste B
City
Racine
State
Wisconsin
Zip
53406-4221
Phone Number
262-619-1949
Fax Number
877-335-3684
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dental Hygienist
Speciality
-
Taxonomy
124Q00000X
License No.
11479-16 (Wisconsin)
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
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