Judythe Leigh Bauer, RDH
Individual provider Active NPI Dental Hygienist · Nekoosa, WI
NPI 1295987352 · NPPES record last updated Oct 21, 2008
Key facts
- NPI
- 1295987352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 2917-016 (WI)
- Practice address
- 1160 Rome Center Dr
Nekoosa, WI 54457-8705 - Phone
- (715) 422-7750
- Fax
- (715) 424-9027
- NPI assigned
- Oct 21, 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 |
|---|---|---|---|
| 2917-016 | WI | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 2917-016 | WI | Yes |
Addresses
Primary practice location
1160 Rome Center Dr
Nekoosa, WI 54457-8705
Mailing address
420 Dewey St
Wisconsin Rapids, WI 54494-4714
Phone (715) 422-7773
Other providers in Nekoosa, WI
- Sharon L Arendt
- Aspirus Riverview Hospital & Clinics, Inc.
- Aspirus Riverview Hospital & Clinics, Inc.
- Aurora Pharmacy Inc
- Elizabeth Brost
- Rhonda Kay Capelle
- City of Nekoosa Wisconsin
- Heather Danielle Dabbs
- Carrie Ann Diehn
All providers in Nekoosa, 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 Oct 21, 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.