Terryl Bauer
Individual provider Active NPI Dental Hygienist · Eleva, WI
NPI 1194126730 · NPPES record last updated Sep 15, 2014
Key facts
- NPI
- 1194126730
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 6665-16 (WI)
- Practice address
- W47 County Road Z
Eleva, WI 54738-9577 - Phone
- (715) 946-3226
- NPI assigned
- Sep 15, 2014
- 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 |
|---|---|---|---|
| 6665-16 | WI | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 6665-16 | WI | Yes |
Addresses
Primary practice location
W47 County Road Z
Eleva, WI 54738-9577
Mailing address
W47 County Road Z
Eleva, WI 54738-9577
Phone (715) 946-3226
Other providers in Eleva, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2014. 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.