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

Individual provider Dental Hygienist · NPI 1760096085

Jerry Lee Collins Jr. is a Dental Hygienist in Flagstaff, Arizona. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

5205 E Cortland Blvd
Flagstaff, AZ 86004-9362
Phone: (520) 230-6360
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X

Record details

NPI number1760096085
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 3, 2020
Last updated in NPPESSeptember 3, 2020
Certification dateSeptember 3, 2020
Mailing address5205 E Cortland Blvd, Flagstaff, AZ 86004-9362

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