Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stephanie Andreya Jackson, RDH

Individual provider Dental Hygienist · NPI 1205045796

Stephanie Andreya Jackson, RDH is a Dental Hygienist in Provo, Utah. Licensed in Arizona, Texas and Utah. Registered with an NPI since 2007.

Licensed in
AZ, TX, UT
In the registry since
2007
Specialties on file
3
What do these letters mean?
RDH — Registered Dental Hygienist
A licensed hygienist who cleans teeth and screens for oral disease.

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Practice location Address checks out

801 Crestview Ave
Provo, UT 84604-4777
Phone: (801) 222-9354
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X · Licence 5655443-0701 (UT)
Dental Hygienist Taxonomy 124Q00000X · Licence 13208 (TX)
Dental Hygienist Taxonomy 124Q00000X · Licence 5908 (AZ)

Record details

NPI number1205045796
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDH
Sole proprietorNo
NPI enumeratedMay 21, 2007
Last updated in NPPESJuly 8, 2007

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