Active NPI
Jessica Trudel, RDH
- Dental Hygienist
- Gilford, NH
National Provider Identifier
1952762288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 02607
- Practice address
- 25 Country Club Rd
Gilford, NH 03249-6972 - Phone
- (603) 524-8250
- NPI assigned
- Mar 15, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 02607 | NH | Primary |
Addresses
Primary practice location
25 Country Club Rd
Gilford, NH 03249-6972
Mailing address
25 Country Club Rd
Gilford, NH 03249-6972
Phone (603) 524-8250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02607 | NH | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458000000000",
"number": "1952762288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 COUNTRY CLUB RD",
"city": "GILFORD",
"state": "NH",
"postal_code": "032496972",
"telephone_number": "603-524-8250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 COUNTRY CLUB RD",
"city": "GILFORD",
"state": "NH",
"postal_code": "032496972",
"telephone_number": "603-524-8250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUDEL",
"first_name": "JESSICA",
"name_prefix": "Miss",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-15",
"last_updated": "2016-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NH",
"license": "02607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilford, NH
- Doris Theberge, M.A.,LCMHC
- Lynne Thelma Towle, LCMHC, LADC
- Town of Gilford (Gilford Ambulance)
- Allison Trant, RN
- Troy Schrupp, D.D.S., P.L.L.C.
- Jared M Tucker, PHARMD
- Robert Alan Ulman, LCMHC, LADC
- Olivia Nicole Wagner, APRN
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2639)
- Wal-Mart Stores East, LP (Walmart Vision Center 30-2639)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.