Individual provider · Type 1 NPI

Theresa Marcie Mock, DENTAL HYGIENIST

Dental Hygienist · Middleton, WI

NPI number 1689130437 Active

Practice location

8669 Airport Rd
Middleton, WI 53562-4147

Mailing address

711 W Moreland Blvd Ste 204
Waukesha, WI 53188-2483

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…

About NPI 1689130437

Theresa Marcie Mock, DENTAL HYGIENIST's National Provider Identifier is 1689130437, issued on Feb 18, 2019. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Middleton, WI. The record was last updated on Feb 18, 2019.