Jessica Ann Bernotski
Dental Hygienist
500 W Fort St
Boise
, Idaho 83702-4501
Jessica Ann Bernotski
Dental Hygienist
500 W Fort St
Boise
, Idaho 83702-4501
(208) 422-1000
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About
Features
Specialties
- Dental Hygienist
Languages spoken
- English
Location
First Address
- Jessica Ann Bernotski
- 500 W Fort St
- Boise, ID
- Zip : 83702-4501
- Phone : (208) 422-1000
Second Address
- Jessica Ann Bernotski
- 500 W Fort St
- Boise, ID
- Zip : 83702-4501
- Phone : (208) 422-1000
Reviews
FAQs
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What type of doctor is Jessica Ann Bernotski
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Is Jessica Ann Bernotski a sole practitioner?
Is Jessica Ann Bernotski accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 124Q00000X | Dental Hygienist | 0402205335 | VA |
| Y | 124Q00000X | Dental Hygienist | 5368500-9920 | UT |
National Provider Identifier
| NPI | 1003295999 |
|---|---|
| Provider Name | Jessica Ann Bernotski |
| First Address | Boise, ID 83702-4501 |
| Second Address | Boise, ID 83702-4501 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/05/2015 |
| Last Update Date | 25/05/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.