Jodi Jean Carr, RDH
Individual provider Active NPI Dental Hygienist · Onalaska, WI
NPI 1013188481 · NPPES record last updated Mar 13, 2008
Key facts
- NPI
- 1013188481
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 4561 (WI)
- Practice address
- 344 French Rd
Onalaska, WI 54650-8646 - Phone
- (608) 783-6518
- NPI assigned
- Mar 13, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4561 | WI | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 4561 | WI | Yes |
Addresses
Primary practice location
344 French Rd
Onalaska, WI 54650-8646
Mailing address
344 French Rd
Onalaska, WI 54650-8646
Phone (608) 783-6518
Other providers in Onalaska, WI
- David P Capelli
- Quintin Cappelle
- Anna M Carnahan
- David E Carney
- Angela Carpenter
- Emily Carroll-Pagel
- Ashley Carstens
- Case Dental LLC Dba Hulse Dental
- Zachary Case
- Mark A Cassellius
All providers in Onalaska, WI · Dental Hygienist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.