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

Jessica Lauren Black, RDH

Individual provider Dental Hygienist · NPI 1104187764

Jessica Lauren Black, RDH is a Dental Hygienist in Redlands, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
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

1413 Gold Buckle Ct
Redlands, CA 92374-2790
Phone: (909) 904-1891
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X · Licence 24820 (CA)

Record details

NPI number1104187764
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDH
Sole proprietorNo
NPI enumeratedMay 30, 2012
Last updated in NPPESMay 30, 2012

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