IndividualActive
Jaclyn Thompson, RDH
NPI 1861520280 · Dental Hygienist · Duluth, MN
Provider details
- NPI number
- 1861520280
- Entity type
- Individual
- Primary specialty
- Dental HygienistDental Providers
- Credential
- RDH
- Sex
- Female
- Sole proprietor
- No
- License
- H7723 (MN)
Specialties & taxonomies
Dental Providers
Practice location
4325 Grand Ave
Duluth, MN 55807-2730
Phone: (218) 628-7035
Fax: (218) 624-6594
Approximate (ZIP-level) locationGet directions
Mailing address
2222 E 5th St
Superior, WI 54880-3709
Additional practice locations (1)
- 210 3rd StCarlton, MN 55718-7703Phone: (218) 336-3524Fax: (218) 384-9002
Registry dates
- Enumerated
- 2007-02-28
- Last updated
- 2024-01-29
- Certified
- 2024-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.