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

Jacqueline Rose Mancillas

Individual provider Dental Hygienist · NPI 1225902430

Jacqueline Rose Mancillas is a Dental Hygienist in Fort Hood, Texas. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

36065 Santa Fe Ave
Fort Hood, TX 76544-5060
Phone: (254) 288-8888
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X

Record details

NPI number1225902430
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 1, 2025
Last updated in NPPESOctober 1, 2025
Certification dateOctober 1, 2025

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