Individual provider · Type 1 NPI

Jerelyn Mary Koosmann, RDH

Dental Hygienist · Ashland, WI

NPI number 1023457918 Active

Practice location

53585 Nokomis Rd
Ashland, WI 54806-4272

Call (715) 685-7887 Map

Fax (715) 685-7857

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X5103-16 (WI)

Dental Hygienist: 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. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and…

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About NPI 1023457918

Jerelyn Mary Koosmann, RDH's National Provider Identifier is 1023457918, issued on Jun 24, 2013. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Ashland, WI. The record was last updated on Jun 24, 2013.