Jillian Anne Adney
Individual provider Active NPI Dental Assistant · Madera, CA
NPI 1124584115 · NPPES record last updated Feb 14, 2019
Key facts
- NPI
- 1124584115
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Assistant 126800000X
- License
- RDA80891 (CA)
- Practice address
- 9300 Valley Childrens PL
Madera, CA 93636-8761 - Phone
- (559) 353-5380
- NPI assigned
- Feb 14, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RDA80891 | CA | MD | Dental Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Assistant | 126800000X | RDA80891 | CA | Yes |
Addresses
Primary practice location
9300 Valley Childrens PL
Madera, CA 93636-8761
Mailing address
3003 S Cedar St
Visalia, CA 93292-3355
Phone (559) 936-7258
Other providers in Madera, CA
- Litzy Adame
- Andrew Wayne Addington
- Gwenith Jean Addington
- John Lamont Addington
- Adhc of Madera
- Advanced Internal Medicine Associates, Inc
- Aegis Treatment Centers, LLC
- Affiliated Physician Practice Inc
- Cristien Aganza
- Prashant Agarwal
All providers in Madera, CA · Dental Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.