Jamie Jividen, RDH

NPI #1912875543 in Smethport, Pennsylvania

Provider Information

NPI Number: 1912875543
Entity Type: Individual
Name: Jamie Jividen, RDH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Oct 27, 2025
Last Updated: Oct 27, 2025

Practice Location

Address: 619 IRISH HOLW
City: Smethport
State: Pennsylvania
ZIP Code: 16749-4115
Phone: (814) 596-3172

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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