Jodi A Budd, R.D.H, L.A.P

Individual provider Active NPI Dental Hygienist · Oakridge, OR

NPI 1013202720 · NPPES record last updated Oct 1, 2021

Key facts

NPI
1013202720
Entity type
Individual (NPI type 1)
Primary specialty
Dental Hygienist 124Q00000X
License
H2795 (OR)
Practice address
47815 Highway 58
Oakridge, OR 97463-9572
Phone
(541) 782-8304
NPI assigned
Jun 10, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
H2795ORMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Orchid Oakridge Clinic, P.C. Past
since Apr 17, 2020
Accepting new patients
Orchid Oakridge Clinic, PC Past
since Apr 17, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X H2795 OR Yes

Addresses

Primary practice location

47815 Highway 58
Oakridge, OR 97463-9572

Mailing address

PO Box 546
Gresham, OR 97030-0132
Phone (541) 782-8242

Other providers in Oakridge, OR

All providers in Oakridge, OR · Dental Hygienist in Oregon

Sources for this page

Verify at the official NPI Registry.