MRS. THERESA MATUSIEWICZ POPOVICH (NPI# 1548565419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548565419 |
| Entity Type | Individual |
| Full Name | MRS. THERESA MATUSIEWICZ POPOVICH |
| Credential | R.D.H |
| Practice Address |
88455 Pike Rd Bayfield WI 54814-4814 |
| Mailing Address |
88455 Pike Road Bayfield WI 54814-4814 |
| Practice Telephone | 7157793096 |
| Mailing Telephone | 7157793096 |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2011-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 6918-016 | WI | Dental Providers |
| Street Address |
88455 PIKE RD |
| City | BAYFIELD |
| State | WI |
| Zip Code | 54814-4814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760830103 | Orthopedic & Spine Therapy of Poplar Sc | Physical Therapist | 33 N 1st St, Bayfield, WI 54814 | 2016-05-26 |
| 1265812481 | Valley Birch, LLC | Community/Behavioral Health | 249 Rittenhouse Avenue, Bayfield, WI 54814 | 2015-06-03 |
| 1205007796 | Red Cliff Band of Lake Superior Chippewa | Social Worker | 88455 Pike Road, Bayfield, WI 54814 | 2008-03-12 |
| 1518137652 | Ellie Heydari | Dentist | 36745 Aiken Rd., Red Cliff Community Health Center, Bayfield, WI 54814 | 2008-03-05 |
| 1174672844 | Red Cliff Band of Lake Superior Chippewa Indians | Ambulance | 37435 Sth 13, Bayfield, WI 54814 | 2007-01-10 |
| 1730257122 | Red Cliff Band of Lake Superior Chippewa | Pharmacist | 88385 Pike Road, Bayfield, WI 54814 | 2006-12-01 |
| 1568484764 | Janice K Wilber | Pharmacist | 88455 Pike Road, Highway 13, Bayfield, WI 54814 | 2006-07-24 |
| 1902077464 | Red Cliff Band of Lake Superior Chippewa | Registered Nurse | 88455 Pike Road, Bayfield, WI 54814 | 2008-03-12 |
| 1083885545 | Red Cliff Band of Lake Superior Chippewa | Durable Medical Equipment & Medical Supplies | 88455 Pike Road, Bayfield, WI 54814 | 2008-03-12 |
| 1730102203 | Barbara M Tellier | Pharmacist | 88455 Pike Road, Highway 13, Bayfield, WI 54814 | 2006-07-25 |
| Find all providers in zip 54814 | ||||
| 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 |
|---|---|---|---|---|
| 1639786551 | Maggie Hall | Dental Hygienist | 2633 Development Dr. Ste 40, Green Bay, WI 54311 | 2020-09-24 |
| 1659983914 | Rachel Benck | Dental Hygienist | 1089 174th St, Hammond, WI 54015-4831 | 2020-08-18 |
| 1619594710 | Vanessa Jane Loertscher | Dental Hygienist | 103 W. Mcmillan St., Marshfield, WI 54449-3502 | 2020-07-06 |
| 1881242535 | Michelle Amanda Shalander | Dental Hygienist | 308 S 1st Street, Luck, WI 54853 | 2019-08-27 |
| 1689130437 | Theresa Marcie Mock | Dental Hygienist | 8669 Airport Rd, Middleton, WI 53562-4147 | 2019-02-18 |
| 1598229866 | Tonya Marie Evjen | Dental Hygienist | N3615 County Road G, Ladysmith, WI 54848-9389 | 2019-01-30 |
| 1922571884 | Erin Kaye Fandre | Dental Hygienist | 111 W Jackson Street, Third Floor, Wisconsin Rapids, WI 54495-3338 | 2019-01-03 |
| 1790256246 | Heather Renee Walker | Dental Hygienist | 1344 Creston Park Dr Ste 2, Janesville, WI 53545-1113 | 2018-12-10 |
| 1730657974 | Anne Chianello | Dental Hygienist | 11643 47th Ave, Pleasant Prairie, WI 53158-3618 | 2018-11-06 |
| 1891263216 | Stephanie Rice | Dental Hygienist | N4008 Morgan Dr, Waupaca, WI 54981 | 2018-11-03 |
| Find all providers with the same taxonomy | ||||
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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.