CHERYL LARSEN (NPI# 1891194536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891194536 |
| Entity Type | Individual |
| Full Name | CHERYL LARSEN |
| Credential | RDH |
| Practice Address |
3600 Tower Ave Superior WI 54880-5589 |
| Mailing Address |
4325 Grand Ave Duluth MN 55807-2730 |
| Practice Telephone | 7153945411 |
| Practice Fax Number | 7153925086 |
| Mailing Telephone | 2186287035 |
| Mailing Fax Number | 2187226239 |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2014-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 10460 | WI | Dental Providers |
| Street Address |
3600 TOWER AVE |
| City | SUPERIOR |
| State | WI |
| Zip Code | 54880-5589 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508823782 | Martin Edward Duchscher | Dentist | 3600 Tower Ave, Superior, WI 54880-5337 | 2006-04-29 |
| 1427549674 | Wendy Ann Peterson | Dentist | 3600 Tower Ave, Superior, WI 54880 | 2018-05-23 |
| 1003279332 | Penny Jo Waldum | Registered Nurse | 3600 Tower Ave, Superior, WI 54880-5589 | 2016-04-04 |
| 1245626936 | Hannah Johnston | Registered Nurse | 3600 Tower Ave, Superior, WI 54880-5589 | 2015-04-09 |
| 1003164393 | Cathy Marie Baker | Registered Nurse | 3600 Tower Ave, Superior, WI 54880-5337 | 2012-08-17 |
| 1033465687 | Thomas A Linstroth | Dentist | 3600 Tower Ave, Superior, WI 54880-5337 | 2012-08-01 |
| 1629366968 | Aaron Daniel Pust | Social Worker | 3600 Tower Ave, Superior, WI 54880-5589 | 2011-07-20 |
| 1871723593 | Eric D Iwen | Dentist | 3600 Tower Ave, Superior, WI 54880-5589 | 2009-07-15 |
| 1366678773 | Glen E Holt | Obstetrics & Gynecology | 3600 Tower Ave, Superior, WI 54880-5337 | 2009-06-01 |
| 1568619682 | Adam M Wennersten | Physician Assistant | 3600 Tower Ave, Superior, WI 54880 | 2008-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427194 | Alana Catherine Sullivan | Speech-Language Pathologist | 25 N 25th Street E, Superior, WI 54880 | 2020-11-05 |
| 1710524970 | Sean Wiberg Peterson | Specialist/Technologist | 1810 Catlin Ave, Room 1246, Superior, WI 54880 | 2019-12-06 |
| 1558858936 | Brent Adam Engstrom | Student in an Organized Health Care Education/Training Program | 1410 Nth 23rd Street, Superior, WI 54880 | 2018-04-20 |
| 1558769125 | David Kroll | Specialist | Balknap & Catlin Aves., Superior, WI 54880 | 2014-12-15 |
| 1154670321 | Superior Treatment Center, Inc | Community/Behavioral Health | 1507 Tower Ave Ste 307, Superior, WI 54880 | 2012-09-04 |
| 1548551658 | Dionne Jeannine Corcoran | Midwife | 916 Hammond Ave Ste 222, Superior, WI 54880 | 2011-04-22 |
| 1821235433 | Lauren Ashley Miller | Speech-Language Pathologist | 35 N. 28th Street, Superior, WI 54880 | 2009-01-20 |
| 1528261989 | Stacy Ann Kennelly | Physical Therapist | 1612 N 37th Street, Superior, WI 54880 | 2007-06-06 |
| 1760564942 | James Henry Dobis | Family Medicine | 3520 Tower Avenue, Twin Ports Va Outpatient Clinic, Superior, WI 54880 | 2006-10-19 |
| 1134214398 | Kevin M Mikel | Dentist | 3312 Tower Avenue, Superior, WI 54880 | 2006-10-04 |
| Find all providers in zip 54880 | ||||
| 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 |
|---|---|---|---|---|
| 1063797959 | Michelle Lee Cannon | Dental Hygienist | 2217 E 8th St, Superior, WI 54880-3714 | 2011-10-11 |
| 1336319292 | Susan Gail Debruyne | Dental Hygienist | 3600 Tower Ave, Superior, WI 54880-5337 | 2008-03-06 |
| 1396875506 | Julie Ann Carlson | Dental Hygienist | 3600 Tower Ave, Suite 2, Superior, WI 54880-5337 | 2007-03-06 |
| 1104839372 | Julie L. Demarte | Dental Hygienist | 3600 Tower Ave, Superior, WI 54880-5589 | 2006-08-15 |
| 1427061464 | Peggy A. Pollock | Dental Hygienist | 3600 Tower Ave, Superior, WI 54880-5589 | 2006-08-14 |
| 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.