Individual provider · Type 1 NPI

Julie Theisen

Dental Hygienist · Hayward, WI

NPI number 1629568779 Active

Practice location

15954 Rivers Edge Dr
Hayward, WI 54843-7800

Call (715) 634-2541 Map

Mailing address

15954 Rivers Edge Dr Ste 304
Hayward, WI 54843-7894

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XNone 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…

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About NPI 1629568779

Julie Theisen's National Provider Identifier is 1629568779, issued on May 15, 2018. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Hayward, WI. The record was last updated on May 15, 2018.