Individual provider · Type 1 NPI
Tina Marie Nissen, RDH
Dental Hygienist · Oconomowoc, WI
Practice location
856 Armour Rd Ste B
Oconomowoc, WI 53066-3976
Mailing address
1141 W Wisconsin Ave
Oconomowoc, WI 53066-2628
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Hygienist Primary | 124Q00000X | 11404 (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…
2 other providers at this address
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About NPI 1255856043
Tina Marie Nissen, RDH's National Provider Identifier is 1255856043, issued on Aug 14, 2017. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Oconomowoc, WI. The record was last updated on Aug 14, 2017.