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JEANNE GRAVES NPI 1720482607


NPI Information

NPI: 1720482607
Provider Name: JEANNE GRAVES

Doing Business As: DENTAL HYGIENE SERVICES

Classification: Dental Hygienist - 124Q00000X
Entity Type: Organization
Address:
2099 W. US HWY 50
SUITE #180
PUEBLO, CO
ZIP 81008
Phone: (719) 542-2489
Get Directions

JEANNE GRAVES is a dental hygienist in Pueblo, CO. 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. JEANNE GRAVES NPI is 1720482607. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dental Hygiene Services.

The provider's business location address is:

2099 W. US HWY 50
SUITE #180
PUEBLO, CO
ZIP 81008-673
Phone: (719) 542-2489

The provider's authorized official is Jeanne Graves .
The authorized official title is Owner and has the following contact phone number (719) 542-2489.

The enumeration date for this NPI number is 10/21/2014 and was last updated on 10/21/2014.


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 HygienistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
104014437MEDICAIDCOLORADO

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: 11/14/2023

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