LORY ANNE LONG (NPI# 1639310386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639310386 |
| Entity Type | Individual |
| Full Name | LORY ANNE LONG |
| Credential | RDH |
| Practice Address |
615 10th St S La Crosse WI 54601-4768 |
| Mailing Address |
1105 Jefferson Ave Sparta WI 54656-2019 |
| Practice Telephone | 6087824054 |
| Mailing Telephone | 6083865859 |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2009-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 9727-16 | WI | Dental Providers |
| Street Address |
615 10TH ST S |
| City | LA CROSSE |
| State | WI |
| Zip Code | 54601-4768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447254305 | Timothy Brekke Durtsche | Dentist | 615 10th St S, La Crosse, WI 54601-4768 | 2005-06-09 |
| 1962643627 | Jean M Helming | Dental Hygienist | 615 10th St S, La Crosse, WI 54601-4768 | 2009-03-10 |
| 1942470331 | John Shea D.d.s. LLC | Dentist | 615 10th St S, La Crosse, WI 54601-4768 | 2008-03-03 |
| 1386782324 | Leslee C Timm | Dentist | 615 10th St S, La Crosse, WI 54601-4768 | 2007-02-02 |
| 1679662324 | John H. Betz | Dentist | 615 10th St S, La Crosse, WI 54601-4768 | 2006-10-12 |
| 1932151685 | Drs. Anderson & Durtsche, Ltd. | Dentist | 615 10th St S, La Crosse, WI 54601-4768 | 2006-05-17 |
| 1477503357 | George F Kroker | Allergy & Immunology | 615 10th St S, La Crosse, WI 54601-4768 | 2006-05-11 |
| 1467402156 | Theodor Habel | Allergy & Immunology | 615 10th St S, La Crosse, WI 54601-4768 | 2006-05-11 |
| 1295725638 | John H Betz Dds Sc | Dentist | 615 10th St S, La Crosse, WI 54601 | 2005-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324265 | Meagan Mcrae | Student in an Organized Health Care Education/Training Program | 1725 State St., 4051 Health Science Center, La Crosse, WI 54601 | 2020-04-07 |
| 1255969671 | Erin Dingman | Student in an Organized Health Care Education/Training Program | 1751 State Street, 4051 Health Science Center, La Crosse, WI 54601 | 2020-03-31 |
| 1619505047 | Nicole Kay Lynch | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State St, La Crosse, WI 54601 | 2020-03-31 |
| 1174151757 | Jenna Sells | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1740818301 | Katie Irene Tahtinen | Student in an Organized Health Care Education/Training Program | Uwl- 4051 Health Science Center, 1725 State St., La Crosse, WI 54601 | 2020-03-30 |
| 1932737517 | Margaret May Grimm | Student in an Organized Health Care Education/Training Program | Univesity of Wisconsin-la Crosse, 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1831727312 | Matthew Timothy Axler | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1093340473 | Denise Stinson | Technician | 1311 Badger St, Apt 505, La Crosse, WI 54601 | 2020-03-06 |
| 1922632397 | Ibrahim Ahsan | Pharmacist | 1105 Wi-16, La Crosse, WI 54601 | 2020-02-25 |
| 1750913356 | Liza R Collins | Massage Therapist | 1415 State Wi 16, La Crosse, WI 54601 | 2020-02-11 |
| Find all providers in zip 54601 | ||||
| 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 |
|---|---|---|---|---|
| 1962801415 | Jessica K Marshall | Dental Hygienist | 2 Copeland Ave Ste 203, La Crosse, WI 54603-3419 | 2014-08-21 |
| 1417385030 | Christina Tanner | Dental Hygienist | 500 Callaway Blvd, La Crosse, WI 54603-1102 | 2013-10-16 |
| 1891044236 | Trista S Pinkert | Dental Hygienist | 1617 Farnam St, La Crosse, WI 54601-5761 | 2012-08-30 |
| 1497928329 | Barbara Lynn Jerue | Dental Hygienist | 400 7th St N, La Crosse, WI 54601-3368 | 2008-04-11 |
| 1033665500 | Jessica M Erickson | Dental Hygienist | 2 Copeland Ave Ste 203, La Crosse, WI 54603-3419 | 2016-08-25 |
| 1356749568 | Sandra Hauge | Dental Hygienist | 2 Copeland Ave, Suite 203, La Crosse, WI 54603-3400 | 2014-12-22 |
| 1962643627 | Jean M Helming | Dental Hygienist | 615 10th St S, La Crosse, WI 54601-4768 | 2009-03-10 |
| 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.