Cynthia A Baus, RDH

Individual provider Active NPI Dental Hygienist · Sheboygan, WI

NPI 1003453564 · NPPES record last updated Dec 4, 2019

Key facts

NPI
1003453564
Entity type
Individual (NPI type 1)
Primary specialty
Dental Hygienist 124Q00000X
Practice address
1721 Saemann Ave
Sheboygan, WI 53081-2342
Phone
(920) 783-6633
NPI assigned
Dec 4, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X Yes

Addresses

Primary practice location

1721 Saemann Ave
Sheboygan, WI 53081-2342

Mailing address

PO Box 959
Sheboygan, WI 53082-0959

Other identifiers

IdentifierTypeStateIssuer
3459OtherWILICENSE

Other providers in Sheboygan, WI

All providers in Sheboygan, WI · Dental Hygienist in Wisconsin

Sources for this page

Verify at the official NPI Registry.