Organization · Type 2 NPI

County of Grant

Dental Hygienist · Lancaster, WI

NPI number 1447405584 Active

Practice location

111 S Jefferson St Fl 2
Lancaster, WI 53813-1672

Fax (608) 723-6501

Specialties and licenses

Taxonomy	Code	License
Dental Hygienist Primary	124Q00000X	None listed

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…

7 other providers at this address

NPI record

NPI: 1447405584
Entity type: Organization (Type 2)
Issued: Nov 17, 2008
Last updated: Nov 17, 2008
Status: Active

Other names

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Grant County Health Department Dental Program · doing business as

Authorized official

Mr. Jeffery A Kindrai, MSPH, RS
Director / Health Officer
(608) 723-6416

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1447405584

County of Grant's National Provider Identifier is 1447405584, issued on Nov 17, 2008. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Lancaster, WI. The record was last updated on Nov 17, 2008.