Individual provider Active NPI

Beth Ann Tetzner, DENTAL HYGIENIST

  • Dental Hygienist
  • Ashland, WI
National Provider Identifier
1124346721
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
10685016 Issued in WI
Practice address
300 Main St W Side B
Ashland, WI 54806-1619
Phone
(715) 685-2200
Fax
(715) 685-2202
NPI assigned
May 7, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 10685016 WI Primary

Addresses

Primary practice location

300 Main St W Side B
Ashland, WI 54806-1619

Mailing address

30840 Wannebo Rd
Washburn, WI 54891-5891
Phone (715) 685-2200

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10685016WIMDDental Hygienist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1124346721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30840 WANNEBO RD",
            "city": "WASHBURN",
            "state": "WI",
            "postal_code": "548915891",
            "telephone_number": "715-685-2200",
            "fax_number": "715-685-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MAIN ST W SIDE B",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548061619",
            "telephone_number": "715-685-2200",
            "fax_number": "715-685-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TETZNER",
        "first_name": "BETH ANN",
        "credential": "DENTAL HYGIENIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-07",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "10685016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.