STEPHANIE JAKLICH (NPI# 1528486073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528486073 |
| Entity Type | Individual |
| Full Name | STEPHANIE JAKLICH |
| Credential | D.H. |
| Practice Address |
820 1st Street Limon CO 80828 |
| Practice Telephone | 7197750300 |
| Mailing Telephone | 7197750300 |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2014-04-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 2871 | CO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | LICENSE | 2871 | 01 |
| Street Address |
820 1ST STREET |
| City | LIMON |
| State | CO |
| Zip Code | 80828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790788297 | John Mark Westfall | Family Medicine | 820 1st Street, Limon, CO 80828-1120 | 2005-05-27 |
| 1912429168 | Joshua Steven Bender | Dentist | 820 1st Street, Limon, CO 80828 | 2017-07-10 |
| 1003298738 | Kirsten Tacha | Dental Hygienist | 820 1st Street, Limon, CO 80828 | 2015-06-18 |
| 1568881688 | Peak Vista Community Health Centers | Clinic/Center | 820 1st Street, Limon, CO 80828 | 2014-04-16 |
| 1801214887 | Kathryn Linn | Dental Hygienist | 820 1st Street, Limon, CO 80828 | 2014-04-07 |
| 1447698394 | Dallas Danielle Kenson | Dentist | 820 1st Street, Limon, CO 80828 | 2013-06-12 |
| 1780020420 | Carrie Glidden-lewis | Counselor | 820 1st Street, Limon, CO 80828 | 2013-05-21 |
| 1598006504 | Tonya Delano | Nurse Practitioner | 820 1st Street, Limon, CO 80828 | 2013-03-15 |
| 1386980936 | Beth Johnson | Counselor | 820 1st Street, Limon, CO 80828-1120 | 2012-12-28 |
| 1356623359 | Jindy J Davis | Dental Hygienist | 820 1st Street, Limon, CO 80828-1120 | 2011-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306485131 | Lincoln Community Hospital Limon Family Practice | Family Medicine | 2110 6th Street, Limon, CO 80828 | 2019-12-26 |
| 1639538234 | Shelby Linnebur | Student in an Organized Health Care Education/Training Program | 555 F Ave, Limon, CO 80828 | 2016-02-11 |
| 1568831642 | Honest Oak LLC | Durable Medical Equipment & Medical Supplies | 333 M Ave, #100, Limon, CO 80828 | 2015-09-18 |
| 1083039747 | Eunoia | Durable Medical Equipment & Medical Supplies | 355 D Avenue, Limon, CO 80828 | 2014-03-04 |
| 1174950216 | Branon D Johnson Dds PC | Dentist | 170 E. Avenue, Limon, CO 80828 | 2013-10-03 |
| 1447682489 | Richard Carroll | Social Worker | 606 Main St., Limon, CO 80828 | 2013-08-01 |
| 1720421043 | Nicole Whitney Hood | Dentist | 170 E Ave., Box 309, Limon, CO 80828 | 2013-04-17 |
| 1972871812 | Thrive Healthcare LLC | Durable Medical Equipment & Medical Supplies | 250 E Avenue, Limon, CO 80828 | 2011-12-07 |
| 1881980472 | Susan Ferree | Pharmacist | 333 M. Avenue, Limon, CO 80828 | 2011-06-22 |
| 1891904348 | Rural Rest Homes LLC | Skilled Nursing Facility | 1750 Circle Lane, Limon, CO 80828 | 2007-05-22 |
| Find all providers in zip 80828 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679061147 | Leslie Joy Hill | Dental Hygienist | 820 1st St, Limon, CO 80828 | 2018-04-30 |
| 1003298738 | Kirsten Tacha | Dental Hygienist | 820 1st Street, Limon, CO 80828 | 2015-06-18 |
| 1801214887 | Kathryn Linn | Dental Hygienist | 820 1st Street, Limon, CO 80828 | 2014-04-07 |
| 1356623359 | Jindy J Davis | Dental Hygienist | 820 1st Street, Limon, CO 80828-1120 | 2011-09-15 |
| 1285850289 | Glenda Kay Lindsay | Dental Hygienist | 820 1st Street, Limon, CO 80828-1120 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326900 | Kassidee N Ficken | Dental Hygienist | 6671 Highway 36, Joes, CO 80822 | 2020-11-06 |
| 1932708302 | Andrea Viger | Dental Hygienist | 4167 Clifton Ct, Boulder, CO 80301-1712 | 2020-10-18 |
| 1841803657 | Tanara Dawn Block | Dental Hygienist | 1325 Hover St Ste 201, Longmont, CO 80501-3176 | 2020-08-31 |
| 1750993150 | Holly Delana Julch | Dental Hygienist | 2837 Federal Blvd, Denver, CO 80211-4117 | 2020-08-18 |
| 1841801032 | Ashley Lindsey | Dental Hygienist | 87 Merchant Dr # Usa, Montrose, CO 81401-3015 | 2020-08-12 |
| 1245849256 | Manish Tomar | Dental Hygienist | 4562 E Dartmouth Ave, Denver, CO 80222-6732 | 2020-07-26 |
| 1962028464 | Sarah Jane Tanner | Dental Hygienist | 1190 Everett Ct, Lakewood, CO 80215-4829 | 2020-06-19 |
| 1578186060 | Lacie Overman | Dental Hygienist | 360 Peak One Dr # 100, Frisco, CO 80443-5948 | 2020-05-19 |
| 1811518095 | Victoria Lynn Wilk | Dental Hygienist | 10186 Highland Meadow Cir Apt 33-205, Parker, CO 80134-9481 | 2020-04-29 |
| 1912526351 | Janet Karen Madrid | Dental Hygienist | 4023 Stampede Dr, Castle Rock, CO 80104-7849 | 2020-04-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on STEPHANIE JAKLICH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.