Provider Demographics
NPI:1003263385
Name:HUTCHINS, JESSICA LAUREN HACKER (DDS)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:LAUREN HACKER
Last Name:HUTCHINS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 MARKET PL
Mailing Address - Street 2:
Mailing Address - City:ESSEX JUNCTION
Mailing Address - State:VT
Mailing Address - Zip Code:05452-2940
Mailing Address - Country:US
Mailing Address - Phone:802-878-5591
Mailing Address - Fax:
Practice Address - Street 1:11 MARKET PL
Practice Address - Street 2:
Practice Address - City:ESSEX JUNCTION
Practice Address - State:VT
Practice Address - Zip Code:05452-2940
Practice Address - Country:US
Practice Address - Phone:802-878-5591
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-17
Last Update Date:2019-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT016.01202711223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice