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
Get Directions

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
1	1223S0112X	Dentist	Oral and Maxillofacial Surgery	0401416503	VIRGINIA	No
2	1223S0112X	Dentist	Oral and Maxillofacial Surgery	DGD.10440	SOUTH CAROLINA	No
3	204E00000X	Oral & Maxillofacial Surgery		0401416503	VIRGINIA	No
4	390200000X	Student in an Organized Health Care Education/Training Program		0401416503	VIRGINIA	Yes

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

NPI Synchronization or Removal

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