Wanda Jackson, RDH

Individual Active
NPI 1043323504
Dental Hygienist Shreveport, LA

Wanda Jackson, RDH holds NPI 1043323504, with a primary taxonomy of dental hygienist and a practice location in Shreveport, LA. The number was issued on August 17, 2006 and the NPPES record was last updated on July 8, 2007.

This record hasn't been updated in NPPES since 2007. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X 376 (LA)

Practice location

510 E Stoner Ave
#160
Shreveport, LA 71101-4243
Phone: (318) 221-8411

Local context

Active NPPES records list 8 providers with dental hygienist as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 40 in Louisiana and 16,662 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Mrs. Wanda Kay Jackson
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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