MRS. THERESA MARCIE MOCK (NPI# 1689130437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689130437 |
Entity Type | Individual |
Full Name | MRS. THERESA MARCIE MOCK |
Credential | DENTAL HYGIENIST |
Practice Address |
8669 Airport Rd Middleton WI 53562-4147 |
Mailing Address |
711 W Moreland Blvd Ste 204 Waukesha WI 53188-2483 |
Practice Telephone | 6082283487 |
Enumeration Date | 2019-02-18 |
Last Update Date | 2019-02-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | Dental Providers |
Street Address |
8669 AIRPORT RD |
City | MIDDLETON |
State | WI |
Zip Code | 53562-4147 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770143802 | Taylor Moore | Chiropractor | 6629 University Ave Ste 101, Middleton, WI 53562 | 2019-06-20 |
1558861302 | Nissenbaum and Schleusner Pro Physical Therapy LLC | Physical Therapist | 6649 University Ave Ste 100, Middleton, WI 53562 | 2018-02-19 |
1750804514 | University of Wisconsin Hospitals and Clinics Authority | Pharmacy | 3185 Deming Way, Middleton, WI 53562 | 2017-07-24 |
1285165803 | Julie Zimmerman | Pharmacist | 7414 Voss Pkwy, Middleton, WI 53562 | 2017-03-24 |
1982072773 | Gina Craig | Physical Therapist | 2521 Allen Boulevard, Middleton, WI 53562 | 2015-09-10 |
1588030464 | Nicholas Capote | Pharmacist | 600 Highland Avenue, F6/133, Madison, WI 53562 | 2015-08-14 |
1679975734 | Emily Herzog | Nurse Practitioner | 7248 Squire Cir, Middleton, WI 53562 | 2014-09-20 |
1942620752 | Brooke Michelle Moungey | Emergency Medicine | 8540 Greenway Blvd, Middleton, WI 53562 | 2014-04-18 |
1962820027 | Jennifer Ciske Larson | Ophthalmology | 2349 Deming Way Deming Way Eye Clinic, Middleton, WI 53562 | 2014-04-04 |
1740525971 | Sara E.m. Nichols | Veterinarian | 1612 N. High Point Rd., Middleton, WI 53562 | 2012-11-28 |
Find all providers in zip 53562 |
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 |
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 |
1366923864 | Naomi Johns | Dental Hygienist | W8993 County Road Ss, Adell, WI 53001-1443 | 2018-08-23 |
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.