JENNIFER ROSE VAN HOOK DMD NPI 1053971861

NPI Information

  • NPI: 1053971861
  • Provider Name: JENNIFER ROSE VAN HOOK, DMD
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3573 SUNSET BLVD
    WEST COLUMBIA, SC
    ZIP 29169
  • Phone: (803) 973-4530

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NPI Details

Jennifer Rose Van Hook, DMD is a student in an organized health care education training program in West Columbia, SC. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jennifer Rose Van Hook, DMD NPI is 1053971861. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3573 SUNSET BLVD
WEST COLUMBIA, SC
ZIP 29169-043
Phone: (803) 973-4530
Fax: (803) 973-4533

The NPI 1053971861 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 6/14/2019 and was last updated on 8/22/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery0401416503VIRGINIANo
21223S0112XDentistOral and Maxillofacial SurgeryDGD.10440SOUTH CAROLINANo
3204E00000XOral & Maxillofacial Surgery0401416503VIRGINIANo
4390200000XStudent in an Organized Health Care Education/Training Program0401416503VIRGINIAYes

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: 11/21/2025

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