# DR. JESSICA V NEILL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1639529548
- **Gender:** F
- **Credential:** D.D.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DD4537 | NM | — |
| 1223G0001X | General Practice Dentistry | D009968 | AZ | Yes |

## Other

- **Enumeration date:** 06/21/2016
- **Last updated:** 09/04/2019