Individual provider · Type 1 NPI

Heidi M. Roth

Dental Hygienist · Baraboo, WI

NPI number 1376683698 Active

Practice location

S2845 White Eagle Rd
Baraboo, WI 53913-9064

Call (608) 355-1240 Map

Mailing address

W8595 Bilkie Rd
Poynette, WI 53955-9774

Specialties and licenses

Taxonomy	Code	License
Dental Hygienist Primary	124Q00000X	4219-016 (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…

28 other providers at this address

About NPI 1376683698

Heidi M. Roth's National Provider Identifier is 1376683698, issued on Feb 7, 2007. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Baraboo, WI. The record was last updated on Jul 8, 2007.