Michelle Lynn Hirst, RDH
Individual provider Active NPI Dental Hygienist · Bowler, WI
NPI 1497056840 · NPPES record last updated Mar 28, 2018
Key facts
- NPI
- 1497056840
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 5673-16 (WI)
- Practice address
- 109 E Main St
Bowler, WI 54416-9702 - Phone
- (715) 350-9226
- NPI assigned
- Nov 16, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 5673-16 | WI | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 5673-16 | WI | Yes |
Addresses
Primary practice location
109 E Main St
Bowler, WI 54416-9702
Mailing address
109 E Main St
Bowler, WI 54416-9702
Phone (715) 350-9226
Other practice location 1
200 G Street East
Poplar, MT 59255
Phone (406) 768-2355
Other providers in Bowler, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2018. 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.