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TIMOTHY DORAL ROBERTSON NPI 1215674049


NPI Information

NPI: 1215674049
Provider Name: TIMOTHY DORAL ROBERTSON
Classification: Dental Hygienist - 124Q00000X
Entity Type: Individual
Address:
1536 N JEFFERSON ST
JACKSONVILLE, FL
ZIP 32209
Phone: (904) 475-6230
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Timothy Doral Robertson is a dental hygienist in Jacksonville, FL. The provider is 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. Timothy Doral Robertson NPI is 1215674049. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1536 N JEFFERSON ST
JACKSONVILLE, FL
ZIP 32209-525
Phone: (904) 475-6230

The enumeration date for this NPI number is 5/13/2022 and was last updated on 5/13/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1124Q00000XDental HygienistDH21341FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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