MICHELE WILDES


Address: 2725 Affirmed Drive, Janesville, WI 53546-4416
Phone: (608) 931-6119

MICHELE WILDES (NPI# 1124543517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124543517
Entity Type Individual
Full Name MICHELE WILDES
Credential RDH
Practice Address 2725 Affirmed Drive
Janesville
WI 53546-4416
Mailing Address 2725 Affirmed Dr
Janesville
WI 53546-4416
Practice Telephone (608) 931-6119
Mailing Telephone 6089316119
Enumeration Date 2017-08-07
Last Update Date 2017-08-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist 9737-16 WI Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI REGISTERED DENTAL HYGIENIST 9737-16 01

Office Location

Street Address 2725 AFFIRMED DRIVE
City JANESVILLE
State WI
Zip Code 53546-4416

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366911489 Latoya Christina Anderson Counselor 1818 Pershing Pl, Janesville, WI 53546 2018-11-19
1922599216 Megan Arney Speech-Language Pathologist 9680, 4445 Woodgate Dr., Janesville, WI 53546 2018-05-23
1770089955 Abby Marie Harnack Registered Nurse 3901 Teal Ln, Janesville, WI 53546 2018-04-05
1962773648 Clark Carroll Nurse Practitioner 1820 Center Ave, Janesville, WI 53546 2012-01-26
1689983793 Fve Mw LLC Assisted Living Facility 3801 North Wright Road, Janesville, WI 53546 2010-10-07
1831354794 County of Rock County Clerk Community/Behavioral Health 3506 Hwy 51, Janesville, WI 53546 2008-07-21
1528225422 Walgreen Co Pharmacy 2519 Kettering St, Janesville, WI 53546 2008-05-19
1447420351 Michele Renee Bohland Physical Therapy Assistant 2540 Humes Rd, Janesville, WI 53546 2008-03-06
1093992158 Emma Gene Harrell Counselor 203 W Sunny Lane, Janesville, WI 53546 2008-01-30
1457473696 Robert Louis Fleming Dentist 910 Conde St, Janesville, WI 53546 2007-04-06
Find all providers in zip 53546

Taxonomy Information

Taxonomy Code 124Q00000X
Grouping Dental Providers
Classification Dental Hygienist

Taxonomy Definition

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 regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790256246 Heather Renee Walker Dental Hygienist 1344 Creston Park Dr Ste 2, Janesville, WI 53545-1113 2018-12-10
1053797241 Tanelle Nelson Dental Hygienist 2610 Schaller St, Janesville, WI 53546-5656 2015-08-11
1336387521 Sarah Suzan Lewellin-cook Dental Hygienist 3858 Teal Ln, Janesville, WI 53546-1189 2009-01-27
1689811432 Megan L Bauer Dental Hygienist 2921 Mohican Rd, Janesville, WI 53545-2285 2009-01-15
1912164021 Kirstin Ann Catlin-friedrich Dental Hygienist 4242 Park View Dr, Janesville, WI 53546-2146 2008-05-18
1760658983 Kristy Kay Prentice Kerl Dental Hygienist 121 Jonathon Dr, Janesville, WI 53548 2008-05-07
1558534248 Angela M Stone Dental Hygienist 3418 N Parker Dr, Janesville, WI 53545-0737 2008-04-02
1871944314 Richard Minor Dental Hygienist 1344 Creston Park Dr, Suite Number 2, Janesville, WI 53545-1113 2016-06-27
1700165800 Nikki Arn Dental Hygienist 527 S Franklin St, Janesville, WI 53548-4779 2011-08-08
1245541655 School District of Janesville Dental Hygienist 527 S Franklin St, Janesville, WI 53548-4779 2010-06-30
Find all providers in JANESVILLE

Competitor

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City JANESVILLE
Zip Code 53546

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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