Jerry Dreyer, RDH
Individual provider Active NPI Dental Hygienist · Mauston, WI
NPI 1104782176 · NPPES record last updated Jan 2, 2026
Key facts
- NPI
- 1104782176
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 4732-16 (WI)
- Practice address
- 880 Herriot Dr
Mauston, WI 53948-2031 - Phone
- (608) 847-6700
- Fax
- (608) 847-6122
- NPI assigned
- Jan 2, 2026
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 4732-16 | WI | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Clinica de Los Campesinos, Inc | Past |
Accepting new patients | |
| La Clinica de Los Campesinos, Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 4732-16 | WI | Yes |
Addresses
Primary practice location
880 Herriot Dr
Mauston, WI 53948-2031
Mailing address
400 S Townline Rd
Wautoma, WI 54982-6922
Phone (920) 787-5514
Other providers in Mauston, WI
- Margaret A. Dennison
- Theresa Dickmann
- Linda A. Diraimondo
- Ron Dixon
- Dawn Marie Downing
- Melissa Dubnicka
- Jean Marie Dutton
- Bobbi Eckerman
- Traci Lynn Elvert
- Mary Elizabeth Emerson
All providers in Mauston, 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 Jan 2, 2026. 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.