MICHELE WILDES (NPI# 1124543517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | 9737-16 | WI | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | REGISTERED DENTAL HYGIENIST | 9737-16 | 01 |
Street Address |
2725 AFFIRMED DRIVE |
City | JANESVILLE |
State | WI |
Zip Code | 53546-4416 |
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 Code | 124Q00000X |
Grouping | Dental Providers |
Classification | 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 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. |
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 |
City | JANESVILLE |
Zip Code | 53546 |
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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.