Individual provider · Type 1 NPI
Stacey Lee Bisenius, R.D.H.
Dental Hygienist · Lakewood, WI
Practice location
15397 State Hwy 32
Lakewood, WI 54138
Mailing address
PO Box 179
Lakewood, WI 54138-0179
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Hygienist Primary | 124Q00000X | 6563016 (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 1386708378
Stacey Lee Bisenius, R.D.H.'s National Provider Identifier is 1386708378, issued on Dec 21, 2006. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Lakewood, WI. The record was last updated on Jul 8, 2007.