MRS. DONNA JEAN AMELSE


Address: 701 Packard St, Wilton, WI 54670-7730
Phone: 6083436684

MRS. DONNA JEAN AMELSE (NPI# 1720337157) 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) 1720337157
Entity Type Individual
Full Name MRS. DONNA JEAN AMELSE
Other Name MS. DONNA JEAN CASKEY
Credential RDH
Practice Address 701 Packard St
Wilton
WI 54670-7730
Mailing Address S5465 County Road Ss
Viola
WI 54664-8035
Practice Telephone 6083436684
Practice Fax Number 6084356905
Enumeration Date 2012-08-30
Last Update Date 2012-08-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist 10873-016 WI Dental Providers

Office Location

Street Address 701 PACKARD ST
City WILTON
State WI
Zip Code 54670-7730

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659403947 Terrence Allen Rogalla Social Worker 738 Arrowhead Blvd, Wilton, WI 54670-6006 2007-03-12
1629143474 Village of Wilton Ambulance 400 East St Ste 103, Wilton, WI 54670-7735 2006-11-21
1407945637 John W Wilke Chiropractor 400 East St, Ste 101, Wilton, WI 54670-7735 2006-10-12
1912450677 Kaylynn Laufenberg Occupational Therapy Assistant 99 S Water St, Wilton, WI 54670-8517 2016-07-29

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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 state

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
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Competitor

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City WILTON
Zip Code 54670

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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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