Individual provider · Type 1 NPI

Kali Rose Disterhoft

Dentist · Manitowoc, WI

NPI number 1962073577 Active

Practice location

33 E Waldo Blvd
Manitowoc, WI 54220-2900

Call (920) 682-0115 Map

Mailing address

622 Pennsylvania Ave Unit 504
Sheboygan, WI 53081-4662

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XDDS-09919 (IA)
Dentist Primary 122300000X1002654-15 (WI)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1962073577

Kali Rose Disterhoft's National Provider Identifier is 1962073577, issued on Jul 6, 2021. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Manitowoc, WI. The record was last updated on Jul 25, 2021.