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NPI 1528958790

IndividualActive

Jacqueline Maas

NPI 1528958790 · Dental Hygienist · Faribault, MN

Provider details

NPI number: 1528958790
Entity type: Individual
Primary specialty: Dental HygienistDental Providers
Sex: Female
Sole proprietor: No
License: H4714 (MN)

Practice location

400 4th St Nw

Faribault, MN 55021-5089

Phone: (507) 384-6830

More MN providers

Mailing address

2648 Oak Lawn Dr

Northfield, MN 55057-3443

Registry dates

Enumerated: 2025-07-08
Last updated: 2025-07-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Jacqueline Maas — NPI 1528958790, Faribault, MN | NPI Central