Provider Demographics
NPI:1821881020
Name:ELDRIDGE, JACINDA RENEE (RDH)
Entity type:Individual
Prefix:
First Name:JACINDA
Middle Name:RENEE
Last Name:ELDRIDGE
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8200 N LAURELGLEN BLVD APT 815
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-2357
Mailing Address - Country:US
Mailing Address - Phone:661-741-3251
Mailing Address - Fax:
Practice Address - Street 1:1305 BEAR MOUNTAIN BLVD
Practice Address - Street 2:
Practice Address - City:ARVIN
Practice Address - State:CA
Practice Address - Zip Code:93203-1231
Practice Address - Country:US
Practice Address - Phone:661-854-3131
Practice Address - Fax:661-854-2689
Is Sole Proprietor?:No
Enumeration Date:2025-05-28
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36568124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist