P Praxis·MD
● Active Type 1 · Individual

Jessica Ann Bernotski, RDH

Dental Hygienist·Boise, ID· NPI 1003295999 · Enumerated 2015 · 10 years on NPI
Bernotski is 1 of 4 dental hygienist providers in Boise and 1 of 54 in Idaho.
NPI age
10 years
Enumerated 2015-05-25
Primary specialty
Dental Hygienist
Plus 1 subspecialty
Licensed in
UT, VA
2 states
Status
Active
No deactivations on record
Last NPPES update
2015-05-25
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 54 active dental hygienist providers in Idaho.

NPI age
10 years
↑ 2 yr above median (7 yr)
State licenses
2 states
Top 83% — 16% of peers are multi-state
Subspecialties
0
16% of peers hold subspecialties

NPI lifetime · 2015 → 2026

2015-05Enumerated in NPPES
2015 2026

Where they practice

Practice location
500 W Fort St
Boise, ID 837024501
📞 2084221000
Mailing address
500 W Fort St
Boise, ID 837024501
📞 2084221000

Specialties

  • Dental Hygienist Primary
    An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. ...
    UT license #5368500-9920VA license #0402205335 taxonomy 124Q00000X

Practice context

Part of a multi-provider practice. 574 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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