MRS. JESSICA SOUTHEARD, R.D.H

Dental Hygienist

Active Individual
NPI: 1851650287

Practice Address

10205 N RIVA RIDGE LOOP
Fort Drum, NY 13602

Phone: (315) 772-8843

Specialties

Specialty Code Primary License
Dental Hygienist 124Q00000X Yes 7426 C1 (AL)

Frequently Asked Questions

NPI 1851650287 is the National Provider Identifier for MRS. JESSICA SOUTHEARD, R.D.H, a Dental Hygienist provider located in Fort Drum, NY. This NPI was enumerated on May 4, 2012.
MRS. JESSICA SOUTHEARD, R.D.H practices at 10205 N RIVA RIDGE LOOP, Fort Drum, NY 13602.

Quick Facts

NPI
1851650287
Type
Individual
Enumerated
May 4, 2012
Last Updated
Jul 22, 2013

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