Jessica R Gardner, RDH, PHDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

020014833 Issued in IL

Practice address

225 Richmond Ave E Ste B
Mattoon, IL 61938-4651

Phone

(217) 235-8000

Fax

(217) 235-0801

NPI assigned

Aug 22, 2025

Last updated

Aug 22, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Sarah Bush Lincoln Health Center

  dba Sarah Bush Lincoln Dental Services

  • Dental Clinic/Center
  • Mattoon, IL
  • NPI 1114198744
  NPD (past)
• Sarah Bush Lincoln Health Center

  dba FCH Physician Billing

  • Critical Access Hospital
  • Vandalia, IL
  • NPI 1912988734
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1972481489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 RICHMOND AVE E STE B",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619384651",
            "telephone_number": "217-235-0800",
            "fax_number": "217-235-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 RICHMOND AVE E STE B",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619384651",
            "telephone_number": "217-235-8000",
            "fax_number": "217-235-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "JESSICA",
        "middle_name": "R",
        "credential": "RDH, PHDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-22",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "IL",
            "license": "020014833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trysten Fugate, BS
• Robin D Gabel, NP
• Rebekah Lyn Gaffin, FNP
• Andrew Robert Gage, M.D.
• Donald Gardner, RSA
• Joshua Wesley Garrett, MD
• Kathy Garrett
• Cody Allen Gass, D.M.D.
• Shannon Marie Gasser, MHP, LPN
• Benjamin Louis Geisler, RN

• Dental Hygienist in Mattoon, IL
• Providers in Mattoon, IL by specialty
• Dental Hygienist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.