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

Jessica Ann Bernotski, RDH

Individual provider Dental Hygienist · NPI 1003295999

Jessica Ann Bernotski, RDH is a Dental Hygienist in Boise, Idaho. Licensed in Utah and Virginia. Registered with an NPI since 2015.

Licensed in
UT, VA
In the registry since
2015
Specialties on file
2
What do these letters mean?
RDH — Registered Dental Hygienist
A licensed hygienist who cleans teeth and screens for oral disease.

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Practice location Address checks out

500 W Fort St
Boise, ID 83702-4501
Phone: (208) 422-1000
Show map & directions

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

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X · Licence 5368500-9920 (UT)
Dental Hygienist Taxonomy 124Q00000X · Licence 0402205335 (VA)

Record details

NPI number1003295999
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDH
Sole proprietorNo
NPI enumeratedMay 25, 2015
Last updated in NPPESMay 25, 2015

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