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

Mrs. Jackie Anne Harasewicz, OMT

Individual provider Dental Hygienist · NPI 1295368090

Mrs. Jackie Anne Harasewicz, OMT is a Dental Hygienist in Coloma, Michigan. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2020
Specialties on file
2

Practice location Address checks out

213 N Paw Paw St
Coloma, MI 49038-9589
Phone: (269) 753-8213
Show map & directions

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

Additional practice locations (1)

  • 504 Lost Oak Ln, Watervliet, MI 49098-8345 — (269) 753-8213

Specialties & licences

Specialist (primary) Taxonomy 174400000X
Dental Hygienist Taxonomy 124Q00000X · Licence 2902016477 (MI)

Record details

NPI number1295368090
Entity typeIndividual (Type 1)
GenderFemale
Credentials OMT
Sole proprietorYes
NPI enumeratedFebruary 20, 2020
Last updated in NPPESFebruary 24, 2021
Certification dateFebruary 24, 2021