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

Stephanie Andreya Jackson, RDH

Individual provider Dental Hygienist · NPI 1205045796

Stephanie Andreya Jackson, RDH is a Dental Hygienist in Provo, Utah. Licensed in Arizona, Texas and Utah. Registered with an NPI since 2007.

Licensed in
AZ, TX, UT
In the registry since
2007
Specialties on file
3
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

801 Crestview Ave
Provo, UT 84604-4777
Phone: (801) 222-9354
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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 5655443-0701 (UT)
Dental Hygienist Taxonomy 124Q00000X · Licence 13208 (TX)
Dental Hygienist Taxonomy 124Q00000X · Licence 5908 (AZ)

Record details

NPI number1205045796
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDH
Sole proprietorNo
NPI enumeratedMay 21, 2007
Last updated in NPPESJuly 8, 2007
Mailing address801 Crestview Ave, Provo, UT 84604-4777

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